NPIMap

Organization Active NPI

Anaheim Compounding LLC

Doing business as Anaheim Hills Medical Pharmacy

  • Long Term Care Pharmacy
  • Anaheim, CA
National Provider Identifier
1780578005
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ANAHEIM COMPOUNDING LLC
Doing business as
Anaheim Hills Medical Pharmacy
Practice address
500 S Anaheim Hills Rd Ste 100
Anaheim, CA 92807-4761
Phone
(714) 279-1111
Fax
(714) 279-1115
NPI assigned
Jun 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Pouya Ariaei, RPH
Title
Owner
Phone
(714) 279-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

500 S Anaheim Hills Rd Ste 100
Anaheim, CA 92807-4761

Mailing address

500 S Anaheim Hills Rd Ste 100
Anaheim, CA 92807-4761
Phone (714) 279-1111

Other identifiers 1

IdentifierTypeStateIssuer
PHY58764OtherCAPHARMACY PERMIT

Other names 1

  • Anaheim Hills Medical Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1780578005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD STE 100",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074761",
            "telephone_number": "714-279-1111",
            "fax_number": "714-279-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD STE 100",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074761",
            "telephone_number": "714-279-1111",
            "fax_number": "714-279-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAHEIM COMPOUNDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "ARIAEI",
        "authorized_official_first_name": "POUYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-279-1111",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "PHY58764",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anaheim Hills Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.