Advantage Pharmaceuticals

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PHY46962 Issued in CA

Legal business name

ADVANTAGE PHARMACEUTICALS

Doing business as

Advantage Pharmaceutical Inc

Practice address

4351 Pacific St
Rocklin, CA 95677-2117

Phone

(916) 630-4960

Fax

(916) 630-4969

NPI assigned

Dec 3, 2007

Last updated

Jun 18, 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

Arthur Whitney

Title

Pic Owner

Phone

(916) 630-4960

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ADVANTAGE PHARMACEUTICAL INC Doing business as

Locations

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1780866749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 PACIFIC ST",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772117",
            "telephone_number": "916-630-4960",
            "fax_number": "916-630-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 PACIFIC ST",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772117",
            "telephone_number": "916-630-4960",
            "fax_number": "916-630-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE PHARMACEUTICALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "PIC OWNER",
        "authorized_official_telephone_number": "916-630-4960"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CA",
            "license": "PHY46962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2113402",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANTAGE PHARMACEUTICAL INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Compounding Pharmacy in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Compounding Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.