North Valley Compounding Pharmacy

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

NORTH VALLEY COMPOUNDING PHARMACY

Practice address

28325 N Tatum Blvd Ste 5
Cave Creek, AZ 85331-6344

Phone

(503) 515-5549

NPI assigned

Oct 11, 2020

Organization subpart

No

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

Authorized official

Name

Hien The Nguyen, PHARMDNPI 1518216894

Title

Owner/Pharmacist

Phone

(503) 515-5549

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• Hien Nguyen, PHARMD

  • Pharmacist
  • Hillsboro, OR
  • NPI 1518216894
  NPD Authorized official

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

{
    "created_epoch": "1602374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1104424381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28325 N TATUM BLVD STE 5",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853316344",
            "telephone_number": "623-246-5100",
            "fax_number": "480-687-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28325 N TATUM BLVD STE 5",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853316344",
            "telephone_number": "503-515-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH VALLEY COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-11",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HIEN",
        "authorized_official_middle_name": "THE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "503-515-5549",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan A Nelson, DPT
• Michael Patrick Newcomb, M.D.
• Nexus Academy
• Kyra Nidds, ATC
• David Nisanov
• Andrea O'Donnell, NTP
• Mohammad Odeh, RPH
• Oladapo O Odumosu, MD
• Heidi Olmos, PHARMD
• Brittany Olson

• Compounding Pharmacy in Cave Creek, AZ
• Providers in Cave Creek, AZ by specialty
• Compounding Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.