Preferred Compounding Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

54528 Issued in CA

Legal business name

PREFERRED COMPOUNDING PHARMACY INC

Doing business as

Preferred Compounding Pharmacy

Practice address

17547 Chatsworth St
Granada Hills, CA 91344-5720

Phone

(818) 360-5004

Fax

(818) 360-5004

NPI assigned

Mar 23, 2010

Last updated

Sep 22, 2016By 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

Trephene Brown

Title

Owner

Phone

(818) 360-5004

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Preferred Compounding Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adena Asatoorian, DOCTOR OF PHARMACY

  • Pharmacist
  • Granada Hills, CA
  • NPI 1245486885
  NPD (past)

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1346564176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17547 CHATSWORTH ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445720",
            "telephone_number": "818-360-5004",
            "fax_number": "818-360-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17547 CHATSWORTH ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445720",
            "telephone_number": "818-360-5004",
            "fax_number": "818-360-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED COMPOUNDING PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TREPHENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-360-5004"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "54528",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126588",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane Poladian, PT
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• Delmy Maria Portillo, LMFT
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• Community/Retail Pharmacy in Granada Hills, CA
• Providers in Granada Hills, 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 Sep 22, 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.