SGV Compounding Pharmacy Inc

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PHY50946 Issued in CA

Legal business name

SGV COMPOUNDING PHARMACY INC

Doing business as

SGV Compounding Pharmacy

Practice address

5610 1/2 Rosemead Blvd
Temple City, CA 91780-1849

Phone

(626) 291-5014

Fax

(626) 291-5695

NPI assigned

May 3, 2012

Last updated

Jul 31, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Philip Cheung

Title

Owner

Phone

(626) 757-8675

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• SGV Compounding Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1023377504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 1/2 ROSEMEAD BLVD",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917801849",
            "telephone_number": "626-291-5014",
            "fax_number": "626-291-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 1/2 ROSEMEAD BLVD",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917801849",
            "telephone_number": "626-291-5014",
            "fax_number": "626-291-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SGV COMPOUNDING PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "CHEUNG",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-757-8675"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CA",
            "license": "PHY50946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134361",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SGV Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jose Ignacio Ruiz, L.AC.
• Joseph Ryan, RD
• Kimberly Ka Yan Saldana, PPS, MS
• Deanne Sciarrotta, SCHOOL COUNSELOR
• Section 1285 (Seusie)
• SGV Psychological Services
• Jin Jin Shen, LAC
• Hsien Shou Shih, M.D
• Robert John Shima, D.D.S.
• Shiow Jiin Jaw, DDS, Inc.

• Compounding Pharmacy in Temple City, CA
• Providers in Temple City, CA by specialty
• Compounding Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.