MVP Compounds Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY 51669 Issued in CA

Legal business name

MVP COMPOUNDS INC

Doing business as

Santa Monica Medical Plaza Pharmacy

Practice address

1260 15TH St
Ste 100
Santa Monica, CA 90404-1135

Phone

(310) 393-6767

Fax

(310) 393-6729

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mouiz Kohanghadosh, PHARMDNPI 1194318998

Title

President/Pic

Phone

(310) 393-6767

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Santa Monica Medical Plaza Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mouiz Kohanghadosh, PHARMD

  • Pharmacist
  • Santa Monica, CA
  • NPI 1194318998
  NPD Authorized official
• Rodney Roohi

  • Pharmacist
  • Santa Monica, CA
  • NPI 1275261356
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1053454561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 15TH ST",
            "address_2": "STE 100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041135",
            "telephone_number": "310-393-6767",
            "fax_number": "310-393-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 15TH ST",
            "address_2": "STE 100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041135",
            "telephone_number": "310-393-6767",
            "fax_number": "310-393-6729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVP COMPOUNDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "KOHANGHADOSH",
        "authorized_official_first_name": "MOUIZ",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "310-393-6767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY 51669",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 51669",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CA",
            "license": "PHY 51669",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0583131",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE BOARD OF PHARMACY PERMIT",
            "identifier": "PHY 51669",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Monica Medical Plaza Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Murray
• Patricia Marie Murray, M.D.
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• Georgea Robin Muschel, L.C.S.W.
• Samuel Muslin, D.D.S.
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• Allison Marie Myers, PHARM.D.
• Summer Anne Myers, MA

• Community/Retail Pharmacy in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.