Custom Healthcare Compounding Pharmacy

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

51905 Issued in CA

Legal business name

CUSTOM HEALTHCARE COMPOUNDING PHARMACY

Practice address

24022 Calle de la Plata Ste 510
Laguna Hills, CA 92653-3631

Phone

(949) 595-2273

Fax

(949) 595-2275

NPI assigned

Mar 27, 2013

Organization subpart

No

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

Authorized official

Name

Anhvuong Ly

Title

Pharmacist in Charge

Phone

(925) 330-8975

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1467794552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24022 CALLE DE LA PLATA STE 510",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533631",
            "telephone_number": "949-595-2273",
            "fax_number": "949-595-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24022 CALLE DE LA PLATA STE 510",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533631",
            "telephone_number": "949-595-2273",
            "fax_number": "949-595-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM HEALTHCARE COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "ANHVUONG",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "925-330-8975"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "51905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Charles Curreri, DDS
• Rumi Rose Currie, MASSAGE THERAPIST
• Curtis Joung Inc
• Curtis Siu MD Inc
• Thea Curtis
• Alysa Cutler
• Mark Cymerint, D.C.
• Ali Dabestani, M.D.
• Arthur J Daigneault, MD
• Linda Jennings Daily, M.A.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.