Valley Compounding Pharmacy LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PHAR.CF.60274451 Issued in WA

Legal business name

VALLEY COMPOUNDING PHARMACY LLC

Practice address

221 S 1St St
Mount Vernon, WA 98273-3802

Phone

(360) 419-0928

Fax

(360) 419-0929

NPI assigned

Mar 13, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Monte Levaque

Title

RPH/Member

Phone

(360) 419-0928

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1588939284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S 1ST ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733802",
            "telephone_number": "360-419-0928",
            "fax_number": "360-419-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S 1ST ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733802",
            "telephone_number": "360-419-0928",
            "fax_number": "360-419-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY COMPOUNDING PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "LEVAQUE",
        "authorized_official_first_name": "MONTE",
        "authorized_official_title_or_position": "RPH/MEMBER",
        "authorized_official_telephone_number": "360-419-0928",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60274451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VA Puget Sound Health Care System
• Sanjeev Vaderah, MD
• Laura Valencia Sanchez
• Guillermo Vales Kennedy, PA-C
• Valley Chiropractic and Wellness, PLLC
• Valley Rehab Physical Therapy Inc
• Valley Roots Family Care PLLC
• Kelly Van Allen, LMP, LAC
• Jennifer Sue Van de Grift, LMP
• Lazia Van Wieringen, PA-C

• Compounding Pharmacy in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Compounding Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.