Magnum Compounding, LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

MAGNUM COMPOUNDING, LLC

Practice address

490 W 84TH St
Hialeah, FL 33014-3615

Phone

(786) 622-2301

Fax

(786) 622-2319

NPI assigned

Jul 16, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Ghassan Faddoul

Title

Owner

Phone

(786) 622-2301

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1184296238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 W 84TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143615",
            "telephone_number": "786-622-2301",
            "fax_number": "786-622-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 W 84TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143615",
            "telephone_number": "786-622-2301",
            "fax_number": "786-622-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNUM COMPOUNDING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-16",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "FADDOUL",
        "authorized_official_first_name": "GHASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-622-2301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Compounding Pharmacy in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Compounding Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.