Vip Compounding Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VIP COMPOUNDING PHARMACY CORP

Doing business as

Lyons Pharmacy & Compounding Lab

Practice address

23206 Lyons Ave
Ste 112
Newhall, CA 91321-2667

Phone

(661) 777-7770

Fax

(661) 777-7776

NPI assigned

Apr 10, 2013

Last updated

Apr 30, 2013By 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

Dr. Pouya Farzadfar, PHARM D

Title

President/Pic

Phone

(661) 777-7770

Specialties & licenses 1

Addresses

Other names 1

• LYONS PHARMACY & COMPOUNDING LAB Doing business as

Locations

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1770926610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23206 LYONS AVE",
            "address_2": "STE 112",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212667",
            "telephone_number": "661-777-7770",
            "fax_number": "661-777-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23206 LYONS AVE",
            "address_2": "STE 112",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212667",
            "telephone_number": "661-777-7770",
            "fax_number": "661-777-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP COMPOUNDING PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "FARZADFAR",
        "authorized_official_first_name": "POUYA",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "661-777-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LYONS PHARMACY & COMPOUNDING LAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Newhall, CA
• Providers in Newhall, 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 Apr 30, 2013; 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.