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Compounding Pharmacy: how many are there, and how many are in private practice?

Compounding pharmacies prepare medication components into a drug preparation under a practitioner's prescription order or through a practitioner, patient, and pharmacist relationship. They use specialized equipment and facilities to meet applicable legal and quality requirements. This page shows the US footprint of active NPI records with Compounding Pharmacy as the primary taxonomy, including state counts, recent enumeration, and the NPPES sole-proprietor flag.

National totals

Active NPI records2,553
Registered sole proprietors13 (0.5%)
NUCC taxonomy code3336C0004X
GroupingSuppliers

What this specialty covers

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

Reading the sole-proprietor share

For this specialty, 13 of 2,553 active records, or 0.5%, are flagged as sole proprietors in NPPES. Because the flag is self-reported, it is an imperfect proxy for private practice and does not identify every independently owned or privately practicing pharmacy. Treat the percentage as a description of NPPES reporting, not as a direct measure of ownership, business structure, or clinical independence.

By state

StateActive NPIsSole proprietorsShare
Texas312<11not reported
Florida239<11not reported
California235<11not reported
New York147<11not reported
Michigan104<11not reported
Oklahoma96<11not reported
Tennessee86<11not reported
Georgia85<11not reported
North Carolina75<11not reported
Pennsylvania74<11not reported
Ohio67<11not reported
Arizona63<11not reported
New Jersey58<11not reported
Alabama52<11not reported
Missouri52<11not reported
Washington51<11not reported
Kentucky47<11not reported
Virginia43<11not reported
Utah43<11not reported
Indiana39<11not reported
South Carolina38<11not reported
Kansas37<11not reported
Illinois36<11not reported
Mississippi35<11not reported
Minnesota33<11not reported
Maryland33<11not reported
Louisiana32<11not reported
Colorado32<11not reported
Nevada30<11not reported
Idaho24<11not reported
Arkansas23<11not reported
Oregon23<11not reported
Massachusetts21<11not reported
New Mexico20<11not reported
West Virginia18<11not reported
Nebraska18<11not reported
Iowa17<11not reported
Montana16<11not reported
Wisconsin16<11not reported
Connecticut14<11not reported

New NPI registrations by year

Year first enumeratedNPIs
201684
201758
201852
201985
202073
202172
202282
202375
202488
2025120

Counts reflect the year each NPI was first issued, among records still active today. The final year is partial: this data covers through 2026-01-11.

Data notes

Source: CMS National Plan and Provider Enumeration System (NPPES) Data Dissemination file, FOIA-disclosable public data under CMS-6060-N. Aggregated by Hero EMR on 2026-08-03; deactivated NPIs excluded; specialty assigned from the primary taxonomy code (NUCC 25.1). Counts below 11 are suppressed. Individual providers are never published. All provider data pages.

Common questions

How many compounding pharmacies are there in the US?

There are 2,553 active NPI records nationally with Compounding Pharmacy as the primary taxonomy.

How many compounding pharmacies are in private practice?

Thirteen records, or 0.5%, are flagged as sole proprietors in NPPES. This flag is not the same as a definitive count of privately practicing or independently owned pharmacies.

Which states have the most compounding pharmacy NPI records?

Texas has the largest count at 312, followed by Florida at 239 and California at 235.

How many compounding pharmacy NPIs were first enumerated in recent years?

Among the most recent full years available, 75 were first enumerated in 2023, 88 in 2024, and 120 in 2025.

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