Professional Partners Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PROFESSIONAL PARTNERS INC

Doing business as

Westcliff Compounding Pharmacy

Practice address

1901 Westcliff Dr
3A
Newport Beach, CA 92660-5598

Phone

(562) 881-2534

NPI assigned

Mar 3, 2011

Last updated

Apr 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael A Pavlovich, PHARM.D.

Title

President

Phone

(949) 272-0775

Specialties & licenses 1

Addresses

Other names 1

• Westcliff Compounding Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1265730006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 WESTCLIFF DR",
            "address_2": "3A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 WESTCLIFF DR",
            "address_2": "3A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605598",
            "telephone_number": "562-881-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PARTNERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "PAVLOVICH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-272-0775",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westcliff Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westcliff Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.