The Bottom Line Pharmacy Podcast: Sykes & Company, P.A.

Sykes & Company, P.A.
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Welcome to the Bottom Line Pharmacy Podcast! On this show, we bring you valuable insights from pharmacists, key vendors and other innovators to bring you pharmacy CPA advice and fuel your bottom line. Subscribe wherever you listen to podcasts for the latest in independent pharmacy! 

  1. KPIs for the Rapid Growth Pharmacy with Jim Hrncir, R. Ph, Owner of Las Colinas Compounding Pharmacy

    5D AGO

    KPIs for the Rapid Growth Pharmacy with Jim Hrncir, R. Ph, Owner of Las Colinas Compounding Pharmacy

    Send a text Schedule an Rx Assessment Rapid growth is exciting but without the right metrics, culture, and plan, it can quietly put your pharmacy at risk. In this episode, Scotty Sykes, CPA, CFP®, Bonnie Bond, CPA, MBA, and Austin Murray sit down with Jim Hrncir, R. Ph. FACP, Owner of Las Colinas Compounding Pharmacy and Wellness Center veteran compounding pharmacist and owner, to unpack what it really takes to run a sustainable compounding pharmacy through industry cycles, GLP-1 volatility, and ownership transitions. We cover: The KPIs Jim actually tracks to manage a complex compounding operationWhy cash position may be the most overlooked metric in pharmacyHow GLP-1s changed the business—and why diversification still mattersInternal succession vs. private equity: the real tradeoffsAnd more! More About Our Guest: Jim Hrncir RPh and wife Jan founded Las Colinas Pharmacy, Compounding & Wellness in 1984. Recognized as one of the pioneers of modern pharmaceutical compounding, Jim’s 1986 creation of Estradiol Transdermal Gel was the first of its kind in the United States. He is responsible for the formulation of many Bio-Identical Hormone, Dermatological, Nutritional, and Anti-Aging compounds in wide use throughout the United States. Jim was named the 2017 Compounding Pharmacist of the Year by Professional Compounding Centers of America (PCCA) and is a Fellow of the Alliance for Pharmacy Compounding (FAPC). NCPA’s magazine America’s Pharmacist featured Jim and Las Colinas Pharmacy as the cover story for December 2018. Jim has received extensive continuing education in the areas of Bio-Identical Hormones, Nutrition, Anti-Aging Medicine, Weight Management, Pain Management, Neurotransmitter Management, Natural and Functional Medicine including the use of botanical medicines, nutritional supplements, Detoxification and Purification, homeopathy and lab testing. He has lectured across the country on a variety of topics including Clinical Patient Consulting, BHRT Assessment and Case Management, Low Dose Naltrexone, Traumatic Brain Injury Treatment Protocols, and Ketamine for Treatment-Resistant Depression and PTSD. Jim is a member of Professional Compounding Centers of America (PCCA), American Academy of Anti-Aging Medicine, Age Management Medical Group, Texas Pharmaceutical Association, Alliance for Pharmacy Compounding, and the National Association of Community Pharmacists. Stay connected with Jim and Las Colinas Pharmacy: Jim's LinkedIn Las Colinas Pharmacy Website Las Colinas Pharmacy Facebook Las Colinas Pharmacy TikTok Las Colinas Pharmacy Instagram Las Colinas Pharmacy LinkedIn Stay connected with us: Facebook YouTube  LinkedIn Instagram More resources on this topic: Podcast - Driving Independent Pharmacy Profitability in 2026 Podcast – The Startup Compounding Pharmacy Playbook

    21 min
  2. Bonus Episode: And Out Came the PBM Reform: TrumpRx, PBM Reform, and the FTC’s Signal to the Market

    FEB 9

    Bonus Episode: And Out Came the PBM Reform: TrumpRx, PBM Reform, and the FTC’s Signal to the Market

    Send a text Schedule an Rx Assessment With TrumpRx officially live, the first major PBM reform in decades signed into law, and the FTC squeezing historic concessions out of Cigna/Express Scripts…Did independent pharmacy just have its “Super Bowl week?” In this bonus episode, Scotty Sykes, CPA, CFP®, Bonnie Bond, CPA, MBA, and Austin Murray break down what these rapid-fire developments actually mean for pharmacy owners. We cover: MFP UpdatesTrumpRx going liveFTC + Cigna/Express Scripts settlementWhat new CMS transparency could mean for pharmacy reimbursementAnd more! Stay connected with us on social media: Facebook Twitter LinkedIn Scotty Sykes – CPA, CFP® LinkedIn More on this topic: Podcast: Business As Usual...Until It Isn't: MDPNP's Impact on 340B Podcast: Driving Independent Pharmacy Profitability in 2026 Podcast - Maximizing Med Sync

    39 min
  3. Business As Usual...Until It Isn't: MDPNP's Impact on 340B with Julie Crozier, CEO of Secure340B

    FEB 5

    Business As Usual...Until It Isn't: MDPNP's Impact on 340B with Julie Crozier, CEO of Secure340B

    Send us a text Schedule an Rx Assessment With Medicare’s Maximum Fair Price (MFP) rebates officially underway and the 340B rebate mechanism on hold, pharmacy owners are left navigating one of the grayest areas the industry has seen in years. In this episode, Scotty Sykes, CPA, CFP®, Bonnie Bond, CPA, MBA, and Austin Murray sit down with Julie Crozier, CEO at  @secure340b to unpack how MDPNP is colliding with 340B and what pharmacies should be paying attention to right now. We cover: How MDPNP and MFP rebates are flowing todayThe duplicate discount problem no one is reconcilingBeacon’s role and why future reconciliation risk mattersDispensing fee pressure, CE relationships, and contract implicationsPractical considerations if TPAs or covered entities push for carve-outsAnd more! More About Our Guest: As CEO of Secure340B, Julie is responsible for formulating and executing strategic plans and technology to deliver critical and timely intel to 340B stakeholders. Julie has over 25 years of pharmacy experience including co-founding, growing and leading a pharmacy software company, Macro Helix, which was acquired by McKesson Corp (NYSE: MCK) in 2012. Julie also has experience in retail pharmacy, long-term care, state Medicaid programs and healthcare revenue cycle. She holds a Bachelor’s in Pharmacy and a Master’s in Pharmacy Administration from The University of Texas at Austin. Julie serves on the board at Crossroads Community Services, a food pantry, and lives in Dallas, Texas with her husband and 2 daughters. Stay connected with Julie and Secure340B: Julie Crozier LinkedIn Secure340B Website Secure340B Facebook Secure340B LinkedIn Secure340B Instagram Stay connected with us: Facebook YouTube  LinkedIn Instagram More resources on this topic: Podcast - Driving Independent Pharmacy Profitability in 2026 Podcast – The Startup Compounding Pharmacy Playbook Podcast – Inside the Fight for Compounding: Advocacy, Growth, and Regulation

    26 min
  4. AI Agents in Compounding Pharmacy with Natalie Park, PharmD, Co-founder and CEO of Pharmesol

    JAN 22

    AI Agents in Compounding Pharmacy with Natalie Park, PharmD, Co-founder and CEO of Pharmesol

    Send us a text Schedule an Rx Assessment AI in pharmacy isn't about prompts, dashboards, or “nice-to-have” tools, it’s about execution. In this episode of the Bottom Line Pharmacy Podcast, Austin Murray sits down with Natalie Park, PharmD, co-founder and CEO of Pharmesol, to break down what AI agents actually are and why they represent a major shift in how pharmacies operate, scale, and compete. We uncover:  What an AI agent really isHow AI agents can execute workflowsHow automation is driving real revenue growthWhere pharmacies are seeing the biggest early winsAnd more! More About Our Guest: Dr. Natalie Park, Pharm.D. is a pharmacist, entrepreneur, and health technology innovator who exemplifies how a pharmacy degree can become a launchpad for transformative impact. A proud graduate of The Ohio State University College of Pharmacy, Natalie brings a bold, initiative-driven mindset to everything she does embracing challenges, valuing diverse experiences, and firmly believing that practice, not theory alone, drives meaningful change. Fueled by a passion for digital health, innovation, and health policy, Natalie is the founder and CEO of Pharmesol, an AI-powered pharmacy assistant designed to strengthen connections between practitioners and patients while improving access to care. Her interests span comparative effectiveness research, health technology assessment, and healthcare innovation, all with a focus on practical, real-world application. Natalie’s journey into pharmacy is deeply personal. After moving to the U.S. as a teenager, she struggled to navigate the healthcare system. When she experienced an allergic reaction for the first time, she turned to a pharmacy—simply because she didn’t know where else to go. That moment shaped her purpose and inspired her to pursue pharmacy as a pathway to accessible, patient-centered care. Today, as a technology CEO serving pharmacies, Natalie’s work blends strategy, customer engagement, and problem-solving. She partners closely with pharmacy leaders to understand their needs, guides product innovation with intention, and keeps her team focused on delivering meaningful value. Her career is a testament to lifelong learning—not as something additive, but transformative—and to the idea that pharmacy isn’t just a profession, but a platform for limitless possibilities. Stay connected with Natalie and Pharmesol: Natalie's LinkedIn Pharmesol Website Pharmesol LinkedIn Stay connected with us: Facebook Twitter LinkedIn Scotty Sykes – CPA, CFP LinkedIn Scotty Sykes – CPA, CFP Twitter Bonnie Bond – CPA LinkedIn Bonnie Bond – CPA Twitter More resources on this topic: Podcast - Driving Independent Pharmacy Profitability in 2026 Podcast – The Startup Compounding Pharmacy Playbook Podcast – Inside the Fight for Compounding: Advocacy, Growth, and Regulation

    23 min
  5. Maximizing Med Sync with Dr. Levi Ellison, PharmD, Owner of Ellison Family Pharmacy

    JAN 15

    Maximizing Med Sync with Dr. Levi Ellison, PharmD, Owner of Ellison Family Pharmacy

    Send us a text Schedule an Rx Assessment Levi is hiring! Interested in working for a pharmacy that runs on structure, relationships, and a high-performance Med Sync model (not “rat race” retail)? Click here If you really want to maximize your Med Sync program, you need to shift your mindset from "Med Sync is a “program” to "Med Sync is our culture and a competitive advantage." In this episode of the Bottom Line Pharmacy Podcast, Scotty Sykes, CPA, CFP®, Bonnie Bond, CPA, MBA, and Austin Murray sit down with Dr. Levi Ellison, PharmD, Owner of Ellison Family Pharmacy to discuss his Med Sync operation, how it’s driving 42 inventory turns and creating a smoother, calmer experience for patients and staff. We break down: Med Sync as opt-out, not opt-inHow Med Sync creates financial leverageWhy Levi believes Med Sync benefits everyoneThe Med Sync workflow driving above average inventory turnsAnd more!More About Our Guest: Dr. Levi Ellison, PharmD is the owner of Ellison Family Pharmacy. An independent pharmacy located in Mena Arkansas. Levi’s roots run deep in Polk County with his family going back six or more generations on both sides. Both Levi graduated with a Doctor of Pharmacy degree in 2018 from UAMS College of Pharmacy in Little Rock, AR. Levi serves as the pharmacist in charge of Ellison Family Pharmacy and Jessica works part time as a pharmacist. Levi is a very active member of Salem Baptist Church located in the community of Nunley just outside Mena. He is also a member of the Arkansas Pharmacists Association and the National Community Pharmacists Association. In his limited free time he enjoys spending time with wife Jessica hiking and with their children. Stay connected with Levi and Ellison Family Pharmacy: Levi's LinkedIn Ellison Rx Website Ellison Rx Facebook Stay connected with us: Facebook YouTube  LinkedIn Instagram More resources on this topic: Podcast - Driving Independent Pharmacy Profitability in 2026 Podcast – The Startup Compounding Pharmacy Playbook Podcast – Inside the Fight for Compounding: Advocacy, Growth, and Regulation

    26 min
  6. Driving Independent Pharmacy Profitability in 2026 with Nicolette Mathey, PharmD, CEO of Atrium24

    JAN 8

    Driving Independent Pharmacy Profitability in 2026 with Nicolette Mathey, PharmD, CEO of Atrium24

    Send us a text Schedule an Rx Assessment Peptides, telemedicine, speed-to-market. Independent pharmacies have real profitability levers in 2026 but the winners will be the ones who can move fast and stay compliant. In this episode, Scotty Sykes, CPA, CFP, Bonnie Bond, CPA, MBA, and Austin Murray sit down with Dr. Nicolette Mathey, PharmD, CEO of Atrium24 to unpack what’s changing right now in the compounding and wellness economy. We cover: Why peptides are exploding in demandWhat to know about BPC-157 and why many think FDA movement could be comingHow pharmacies can use telemedicine to keep patients from being captured by big direct-to-consumer platformsWhere compounding pharmacies are still thrivingSpeed to market without reckless riskMore About Our Guest: Dr. Nicolette Mathey started her career at Walgreens at age 16 and earned her PharmD from the University of Florida in 2010. After pioneering a successful Bedside Delivery program at BayCare Health Systems, she became the Director of Clinical Services at Pharmacy Development Services. There, she co-developed the Clinical Services Profit Ignitor and played a pivotal role in early data analytics. In 2017, Nicolette acquired Palm Harbor Pharmacy, transforming it from a contracts-only establishment in a Heat Zone to a thriving hub. She revamped its identity, introducing robust digital marketing, a multi-rep sales system, compounding, immunizations, NABP accreditation, Test & Treat, Pharmacogenomic (PGX) Testing, and more. In 2019, Nicolette founded ATRIUM24, initially offering business consulting to pharmacies. Focused on developing software to automate data analytics and launch Dotti, the industry’s first CRM sales system tailored for pharmacies, she sold Palm Harbor Pharmacy to another independent owner in October 2023. With the official launch of Dotti in January 2024, Dr. Mathey continues to innovate, aiding pharmacies in maximizing their data for profitability and growth. Through ATRIUM24 and Dotti, she and her team “connect the dots” for sales and marketing initiatives, empowering pharmacies with cutting-edge tools. Stay connected with Nicolette, Atrium24, and Dotti: Nicolette’s LinkedIn Atrium24 Website Atrium24 Facebook Atrium24 LinkedIn Stay connected with us: Facebook YouTube  LinkedIn Instagram More resources on this topic: Podcast – The Startup Compounding Pharmacy Playbook Podcast – Inside the Fight for Compounding: Advocacy, Growth, and Regulation

    49 min
  7. Christmas 2025: Year-End Tax Moves, MDPNP Updates, PBM Reform

    12/27/2025

    Christmas 2025: Year-End Tax Moves, MDPNP Updates, PBM Reform

    Send us a text Schedule an Rx Assessment 🎄 ’Tis the season to be…strategic. 🎁 In this festive year-end episode of The Bottom Line Pharmacy Podcast, the team gathers to break down what independent pharmacy owners should be thinking about as the calendar closes and what opportunities and challenges lie ahead. We cover a wide range of timely topics, including: - Market changes and the increase in multi-store ownership - Why you need to be prepared if you are approached to buy a pharmacy - What proper due diligence really looks like when evaluating a pharmacy - Key MFP and WAC updates heading into the new year - Last-minute tax planning strategies pharmacy owners can still implement before year-end - A pulse check on PBM reform and legislative momentum Happy listening! Stay connected with us on social media: Facebook Twitter LinkedIn More on this topic: Podcast: NCPA 2025 Recap

    27 min
  8. Building a Legacy Through Pharmacy with Sonja Pagniano, Executive Director of NCPA Foundation

    12/18/2025

    Building a Legacy Through Pharmacy with Sonja Pagniano, Executive Director of NCPA Foundation

    Send us a text What if your year-end tax plan could do more than reduce your bill… and actually strengthen the future of independent pharmacy? In this episode of The Bottom Line Pharmacy Podcast, Bonnie Bond, CPA, and Austin Murray sit down with Sonja Pagniano of the NCPA Foundation to unpack how the Foundation supports pharmacy ownership, disaster recovery, and long-term sustainability for community pharmacies. We cover: - The origin story of the NCPA Foundation - Why public understanding of independent pharmacy is a key piece of independent pharmacy's future - The Rural Pharmacy Ownership Accelerator and what it means for “pharmacy deserts” - End-of-year planning strategies pharmacy owners should consider - And more! More About Our Guest: Sonja Pagniano, is the executive director of the NCPA Foundation. Sonja leads the foundation’s strategic growth including the fundraising campaigns, marketing initiatives, as well as various other projects. Throughout her career Sonja has sought to strategically support the mission of philanthropic groups such as the NCPA Foundation. She most recently served as the development manager for the Center for Disaster Philanthropy, which helps donors maximize their impact on long-term recovery from disasters through expert resources, community-driven grantmaking and philanthropic consulting services.  Prior to this position, she worked at the College of Wooster’s Advancement Division as the assistant director of annual giving, and as an associate planner at the Medina County Department of Planning Services and Fair Housing in Ohio.  Sonja received her Masters of Public Administration from Kent State University. She also holds a Certified Fund Raising Executive (CFRE) certification, so she is certified in the highest standards of ethics, competence, and service to the philanthropic sector. Stay connected with Sonja and the NCPA Foundation: Sonja Pagniano LinkedIn NCPA Foundation Website NCPA Foundation YouTube NCPA Foundation LinkedIn NCPA Foundation Facebook Stay connected with us on social media: Facebook Twitter LinkedIn Scotty Sykes – CPA, CFP® LinkedIn More on this topic: Podcast: NCPA 2025 Recap Podcast: Pioneering Solutions in Remote Territories

    19 min
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Ratings & Reviews

5
out of 5
6 Ratings

About

Welcome to the Bottom Line Pharmacy Podcast! On this show, we bring you valuable insights from pharmacists, key vendors and other innovators to bring you pharmacy CPA advice and fuel your bottom line. Subscribe wherever you listen to podcasts for the latest in independent pharmacy! 

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