Organization Active NPI

California Drug Compounding, LLC

Doing business as CDC Pharmacy

  • Compounding Pharmacy
  • North Hollywood, CA
National Provider Identifier
1356780472
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
51459 Issued in CA
Legal business name
CALIFORNIA DRUG COMPOUNDING, LLC
Doing business as
CDC Pharmacy
Practice address
6878 Beck Ave
North Hollywood, CA 91605-6205
Phone
(818) 691-0286
NPI assigned
Jun 21, 2013
Last updated
Jun 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Authorized official

Name
Irma Diaz
Title
Managing Member
Phone
(310) 272-0894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 51459 CA Primary

Addresses

Primary practice location

6878 Beck Ave
North Hollywood, CA 91605-6205

Mailing address

6878 Beck Ave
North Hollywood, CA 91605-6205
Phone (818) 691-0286

Other names 1

  • CDC Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
California Drug Compounding LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1356780472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6878 BECK AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916056205",
            "telephone_number": "818-691-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6878 BECK AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916056205",
            "telephone_number": "818-691-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA DRUG COMPOUNDING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "IRMA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "310-272-0894"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CA",
            "license": "51459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.