Prescription Compounding Specialists Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY-646 Issued in HI

Legal business name

PRESCRIPTION COMPOUNDING SPECIALISTS INC

Practice address

99-115 Aiea Heights Dr
#205
Aiea, HI 96701-3924

Phone

(808) 487-9988

Fax

(808) 424-0042

NPI assigned

Mar 24, 2006

Organization subpart

No

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

Authorized official

Name

Mark Gregory, RPH

Title

President

Phone

(808) 487-9988

Specialties & licenses 1

Addresses

Other names 1

• d/b/a Medical Center Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1528028388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-115 AIEA HEIGHTS DR",
            "address_2": "#301",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013924",
            "telephone_number": "808-487-9988",
            "fax_number": "808-484-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-115 AIEA HEIGHTS DR",
            "address_2": "#205",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013924",
            "telephone_number": "808-487-9988",
            "fax_number": "808-424-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTION COMPOUNDING SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-487-9988",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "HI",
            "license": "PHY-646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "d/b/a Medical Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Aiea, HI
• Providers in Aiea, HI by specialty
• Pharmacy in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.