Natioal Compounding Institute Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY48441 Issued in CA

Legal business name

NATIOAL COMPOUNDING INSTITUTE INC

Practice address

1851 Langley Ave
Irvine, CA 92614-5623

Phone

(866) 624-6241

Fax

(866) 615-5352

NPI assigned

Oct 14, 2008

Organization subpart

No

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

Authorized official

Name

Tina Sulir-Saadeh

Title

Pres

Phone

(949) 551-7195

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Natioal Compounding Institute Inc Doing business as

Locations

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1831341577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E YALE LOOP",
            "address_2": "SUITE C",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044697",
            "telephone_number": "866-624-6241",
            "fax_number": "866-615-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 LANGLEY AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145623",
            "telephone_number": "866-624-6241",
            "fax_number": "866-615-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIOAL COMPOUNDING INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "SULIR-SAADEH",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "949-551-7195"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48441",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5632270",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natioal Compounding Institute Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Akbar Nassiry, M.D., M.P.H.
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• Kylie Natalizio, MS
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• Heather H. Nations, PSY.D.
• Rajeswari Natrajan-Tyagi, PH.D.

• Community/Retail Pharmacy in Irvine, CA
• Providers in Irvine, 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 Mar 30, 2010; 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.