Organization Active NPI

Inspired Compounds Inc

Doing business as Rodeo Drive Anti-Aging Pharmacy

  • Community/Retail Pharmacy
  • Beverly Hills, CA
National Provider Identifier
1336422989
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY50728 Issued in CA
Legal business name
INSPIRED COMPOUNDS INC
Doing business as
Rodeo Drive Anti-Aging Pharmacy
Practice address
421 N Rodeo Dr
P4
Beverly Hills, CA 90210-4500
Phone
(310) 247-8004
Fax
(310) 247-8015
NPI assigned
Sep 21, 2011
Last updated
Sep 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Mr. Michael C Hua, PHARM D
Title
President/Pic
Phone
(310) 247-8004

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY50728 CA
Community/Retail Pharmacy 3336C0003X PHY50728 CA Primary
Compounding Pharmacy 3336C0004X PHY50728 CA

Addresses

Primary practice location

421 N Rodeo Dr
P4
Beverly Hills, CA 90210-4500

Mailing address

421 N Rodeo Dr
P4
Beverly Hills, CA 90210-4500
Phone (310) 247-8004

Other identifiers 1

IdentifierTypeStateIssuer
PHY50728OtherCARETAIL PHARMACY PERMIT

Other names 1

  • RODEO DRIVE ANTI-AGING PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

421 N Rodeo Dr
Ste P4
Beverly Hills, CA 90210
Phone (310) 247-8004

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1336422989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N RODEO DR",
            "address_2": "P4",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104500",
            "telephone_number": "310-247-8004",
            "fax_number": "310-247-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N RODEO DR",
            "address_2": "P4",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104500",
            "telephone_number": "310-247-8004",
            "fax_number": "310-247-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED COMPOUNDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "HUA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "310-247-8004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY50728",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50728",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CA",
            "license": "PHY50728",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETAIL PHARMACY PERMIT",
            "identifier": "PHY50728",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RODEO DRIVE ANTI-AGING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.