Anaheim Compounding LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ANAHEIM COMPOUNDING LLC

Practice address

500 S Anaheim Hills Rd
Anaheim, CA 92807-4780

Phone

(714) 279-1111

NPI assigned

Nov 18, 2022

Organization subpart

No

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

Authorized official

Name

Pouya Ariaei

Title

Owner

Phone

(310) 968-8567

Specialties & licenses 4

Addresses

Other names 1

• Anaheim hills medical pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1124737192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074780",
            "telephone_number": "714-279-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAHEIM COMPOUNDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-18",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "ARIAEI",
        "authorized_official_first_name": "POUYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-968-8567"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anaheim hills medical pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anaheim City School District
• Anaheim Community Dentistry
• Anaheim Community Hospital, LLC
• Anaheim Community Hospital, LLC
• Anaheim Community Hospital, LLC
• Anaheim Compounding LLC
• Anaheim Elementary School District
• Anaheim Elementary School District
• Anaheim Elementary School District
• Anaheim Elementary School District

• Community/Retail Pharmacy in Anaheim, CA
• Providers in Anaheim, 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 Apr 21, 2023; 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.