Irvine Sand Canyon Pharmacy Inc

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

99148 Issued in CA

Legal business name

IRVINE SAND CANYON PHARMACY INC

Doing business as

Town Center Compounding Pharmacy

Practice address

72624 El Paseo
Suite A1
Palm Desert, CA 92260-3309

Phone

(760) 341-3984

Fax

(760) 341-4954

NPI assigned

Feb 28, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mort Farina, R.PH.

Title

President

Phone

(310) 880-2537

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TOWN CENTER COMPOUNDING PHARMACY Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christiane Claude-Richards, PHARM D

  • Pharmacist
  • Palm Desert, CA
  • NPI 1619383452
  NPD (past)
• Deeann Gerken, MSN NPC

  • Nurse Practitioner
  • Palm Desert, CA
  • NPI 1093973232
  NPD (past)
• Stephen S Pomerance, RPH

  • Pharmacist
  • Palm Desert, CA
  • NPI 1528105269
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609904119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SCARBOROUGH WAY",
            "address_2": "ROOM 92270",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701624",
            "telephone_number": "310-880-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72624 EL PASEO",
            "address_2": "SUITE A1",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603309",
            "telephone_number": "760-341-3984",
            "fax_number": "760-341-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVINE SAND CANYON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARINA",
        "authorized_official_first_name": "MORT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-880-2537",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CA",
            "license": "99148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "44047",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOWN CENTER COMPOUNDING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Compounding Pharmacy in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Compounding Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.