California Pharmacy & Compounding Center Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

CALIFORNIA PHARMACY & COMPOUNDING CENTER INC

Doing business as

California Pharmacy and Compounding Center

Practice address

4000 Birch St Ste 120
Newport Beach, CA 92660-2258

Phone

(949) 642-8057

NPI assigned

Oct 1, 2019

Organization subpart

No

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

Authorized official

Name

Miss Sadaf Bahadoran

Title

Pharmacy Manager

Phone

(949) 642-8057

Specialties & licenses 1

Addresses

Other names 1

• California Pharmacy and Compounding Center Doing business as

Locations

Practitioners 2

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.

• Erik Ernest Courter

  • Pharmacy Technician
  • Newport Beach, CA
  • NPI 1033484068
  NPD (past)
• Robert Dale Hall II, PHARM D.

  • Pharmacist
  • Newport Beach, CA
  • NPI 1689232829
  NPD (past)

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1720629769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 BIRCH ST STE 120",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602258",
            "telephone_number": "949-642-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 BIRCH ST STE 120",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602258",
            "telephone_number": "949-642-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA PHARMACY & COMPOUNDING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "BAHADORAN",
        "authorized_official_first_name": "SADAF",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "949-642-8057",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Pharmacy and Compounding Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.