Rancho Pharmacy, Inc.

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

RANCHO PHARMACY, INC.

Doing business as

Rancho Compounding Pharmacy

Practice address

3835 Avocado Blvd Ste 100
La Mesa, CA 91941-7383

Phone

(619) 303-7771

NPI assigned

Feb 4, 2025

Organization subpart

No

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

Authorized official

Name

Fatima HamadeNPI 1730592122

Title

Owner

Phone

(619) 303-7771

Specialties & licenses 1

Addresses

Other names 1

• RANCHO COMPOUNDING PHARMACY Doing business as

Practitioners 1

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.

• Fatima Hamade

  • Pharmacist
  • La Mesa, CA
  • NPI 1730592122
  NPD Authorized official

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1811701311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 AVOCADO BLVD STE 100",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919417383",
            "telephone_number": "619-303-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 AVOCADO BLVD STE 100",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919417383",
            "telephone_number": "619-303-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "HAMADE",
        "authorized_official_first_name": "FATIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-303-7771"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RANCHO COMPOUNDING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rafid Arabo MD Inc
• Erica Ragen, PA-C
• Kavita Raigaga
• Camille Marasigan Ramirez
• Jessica Ramirez
• Randall W. Stettler, DDS, Inc
• Sumit Ranjan, MD
• Erin Rebecca Ransom, DMD, MST
• Nicki Vithalani Rao, M.D.
• Ravishankar E. Rao, M.D.

• Compounding Pharmacy in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Compounding Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.