Active NPI
Healing Compounds Inc
- Specialty Pharmacy
- Van Nuys, CA
National Provider Identifier
1477225530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- Legal business name
- HEALING COMPOUNDS INC
- Practice address
- 6640 Van Nuys Blvd Ste 203
Van Nuys, CA 91405-4678 - Phone
- (818) 905-0669
- Fax
- (818) 905-0016
- NPI assigned
- Sep 28, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Babak Reuben Kohanteb, PHARM D
- Title
- President/Ceo
- Phone
- (818) 905-0669
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Specialty Pharmacy | 3336S0011X | Primary |
Addresses
Primary practice location
6640 Van Nuys Blvd Ste 203
Van Nuys, CA 91405-4678
Mailing address
6640 Van Nuys Blvd Ste 203
Van Nuys, CA 91405-4678
Phone (818) 905-0669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY58274 | Other | CA | BOARD OF PHARMACY |
Other names 1
- MICHAEL'S PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Healing Compundsinc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Sherman Oaks, CA
- NPI 1790237113
-
- Community/Retail Pharmacy
- Sherman Oaks, CA
- NPI 1811095433
Locations
6640 Van Nuys Blvd
Ste 203
Van Nuys, CA 91405
Phone (818) 905-0669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632787200000",
"number": "1477225530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6640 VAN NUYS BLVD STE 203",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914054678",
"telephone_number": "818-905-0669",
"fax_number": "818-905-0016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6640 VAN NUYS BLVD STE 203",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914054678",
"telephone_number": "818-905-0669",
"fax_number": "818-905-0016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING COMPOUNDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-28",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A",
"authorized_official_last_name": "KOHANTEB",
"authorized_official_first_name": "BABAK",
"authorized_official_middle_name": "REUBEN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "818-905-0669",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "PHY58274",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MICHAEL'S PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.