<\!DOCTYPE html> Apply for Provider Access | Veridian Health

Apply for Provider Access

Join licensed clinics accessing compliant compounding through our 50-state pharmacy network. Applications reviewed within 2 business days.

What you'll need

  • Valid 10-digit NPI number (verified against NPPES)
  • Active state medical license in good standing
  • Practice name and contact information
  • Willingness to execute a Business Associate Agreement
  • Valid professional email address

Provider Application

Provider name is required.
Practice name is required.
A valid 10-digit NPI is required.
A valid email address is required.
Please select your primary state.
Please select a practice type.

Applications reviewed within 2 business days. All providers subject to NPI verification against the NPPES registry.

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Application Received

Thank you for applying. Our team will review your credentials and respond within 2 business days.

We'll verify your NPI against the NPPES registry and reach out to the email you provided with next steps.

Questions? Email providers@veridian.health