Provider Demographics
NPI:1821341058
Name:SONA COMPOUNDING PHARMACY
Entity Type:Organization
Organization Name:SONA COMPOUNDING PHARMACY
Other - Org Name:RIPLEY DRUG INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/ PIC
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:RIPLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:828-782-5571
Mailing Address - Street 1:530 HENDERSONVILLE ROAD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803
Mailing Address - Country:US
Mailing Address - Phone:828-782-5571
Mailing Address - Fax:828-785-1490
Practice Address - Street 1:530 HENDERSONVILLE ROAD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803
Practice Address - Country:US
Practice Address - Phone:828-782-5571
Practice Address - Fax:828-785-1490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-25
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0003X
NC113323336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3460540OtherNCPDP PROVIDER IDENTIFICATION NUMBER