Compoundia Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

50901 Issued in CA

Legal business name

COMPOUNDIA PHARMACY INC

Doing business as

Compoundia Pharmacy

Practice address

766 Lakefield Rd Ste E
Westlake Village, CA 91361-2661

Phone

(855) 371-4443

Fax

(805) 371-4375

NPI assigned

Apr 24, 2012

Organization subpart

No

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

Authorized official

Name

Betty Viso

Title

Owner

Phone

(855) 371-4443

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Compoundia Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1144588468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 S WESTLAKE BLVD STE 14-291",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613108",
            "telephone_number": "855-371-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 LAKEFIELD RD STE E",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612661",
            "telephone_number": "855-371-4443",
            "fax_number": "805-371-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPOUNDIA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "VISO",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-371-4443"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50901",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134920",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compoundia Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Westlake Village, CA
• Providers in Westlake Village, 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 Jul 1, 2016; 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.