Masters Compounding Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MASTERS COMPOUNDING PHARMACY, INC.

Doing business as

LA Compounding Pharmacy

Practice address

8600 W 3Rd St Ste 1
Los Angeles, CA 90048-3338

Phone

(424) 235-4210

NPI assigned

Jan 18, 2021

Organization subpart

No

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

Authorized official

Name

Mousa Mirakhor KalimiNPI 1639792054

Title

Ceo/Director

Phone

(310) 978-6785

Specialties & licenses 1

Addresses

Other names 1

• LA Compounding Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mousa Mirakhor Kalimi, PHARM.D.

  • Pharmacist
  • Los Angeles, CA
  • NPI 1639792054
  NPD Authorized official

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1568051183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 W 3RD ST STE 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483338",
            "telephone_number": "424-235-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 W 3RD ST STE 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483338",
            "telephone_number": "424-235-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERS COMPOUNDING PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "MIRAKHOR KALIMI",
        "authorized_official_first_name": "MOUSA",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "310-978-6785"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frederic Massoua
• Massoud H. Agahi, M.D. Inc.
• Roxanne Massoumi
• Macie L Mastali
• Donna Lynn Masterman, MD
• Lauretta Alison Masters, NP-C
• Kara Lauko Masterson, AGACNP
• Paul Michael Mastrofrancesco, LCSW
• Brianna Mastromarino, MD
• Eriko Masuda, MD

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, 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 Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.