NPIMap

Organization Active NPI

Healing Compounds Inc

  • Pharmacy
  • Sherman Oaks, CA
National Provider Identifier
1790237113
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY43586 Issued in CA
Legal business name
HEALING COMPOUNDS INC
Practice address
4955 Van Nuys Blvd
Sherman Oaks, CA 91403-1801
Phone
(818) 905-0669
Fax
(818) 905-0016
NPI assigned
Nov 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Authorized official

Name
Dr. Babak R. Kohanteb, PHARM D
Title
President / Pharmacist in Charge
Phone
(818) 905-0669

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY43586 CA Primary
Long Term Care Pharmacy 3336L0003X PHY43586 CA
Specialty Pharmacy 3336S0011X PHY43586 CA

Addresses

Primary practice location

4955 Van Nuys Blvd
Sherman Oaks, CA 91403-1801

Mailing address

4955 Van Nuys Blvd
Sherman Oaks, CA 91403-1801
Phone (818) 905-0669

Other identifiers 1

IdentifierTypeStateIssuer
PHY43586OtherCACALIFORNIA STATE BOARD OF PHARMACY PERMIT

Other names 1

  • MICHAEL'S PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Healing Compundsinc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1790237113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031801",
            "telephone_number": "818-905-0669",
            "fax_number": "818-905-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031801",
            "telephone_number": "818-905-0669",
            "fax_number": "818-905-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING COMPOUNDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "KOHANTEB",
        "authorized_official_first_name": "BABAK",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT / PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "818-905-0669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY43586",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY43586",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CA",
            "license": "PHY43586",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE BOARD OF PHARMACY PERMIT",
            "identifier": "PHY43586",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MICHAEL'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.