Organization Active NPI

Global Compounding Pharmacy LLC

Doing business as Global Compounding Pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1699031468
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY50713 Issued in CA
Legal business name
GLOBAL COMPOUNDING PHARMACY LLC
Doing business as
Global Compounding Pharmacy
Practice address
1544 Purdue Ave
Los Angeles, CA 90025-3105
Phone
(424) 832-3421
Fax
(424) 832-3452
NPI assigned
Apr 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Authorized official

Name
Dabo Kabov
Title
Owner
Phone
(424) 832-3421

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY50713 CA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

1544 Purdue Ave
Los Angeles, CA 90025-3105

Mailing address

1544 Purdue Ave
Los Angeles, CA 90025-3105
Phone (424) 832-3421

Other identifiers 1

IdentifierTypeStateIssuer
5643956OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Global Compounding Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Anatomy Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1544 Purdue Ave
Los Angeles, CA 90025
Phone (310) 503-4779

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1699031468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 PURDUE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253105",
            "telephone_number": "424-832-3421",
            "fax_number": "424-832-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 PURDUE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253105",
            "telephone_number": "424-832-3421",
            "fax_number": "424-832-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL COMPOUNDING PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "KABOV",
        "authorized_official_first_name": "DABO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-832-3421"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50713",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5643956",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Global Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.