California Drug Compounding LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

51459 Issued in CA

Legal business name

CALIFORNIA DRUG COMPOUNDING LLC

Practice address

6878 Beck Ave
North Hollywood, CA 91605-6205

Phone

(818) 691-0286

Fax

(818) 286-1424

NPI assigned

Sep 30, 2015

Organization subpart

No

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

Authorized official

Name

Irma Diaz

Title

Managing Member

Phone

(818) 284-4008

Specialties & licenses 1

Addresses

Other names 1

• CDC PHARMACY Doing business as

Tax ID family

California Drug Compounding LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• California Drug Compounding, LLC

  • Compounding Pharmacy
  • North Hollywood, CA
  • NPI 1356780472
  NPD tax ID

Locations

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1831569029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6878 BECK AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916056205",
            "telephone_number": "818-691-0286",
            "fax_number": "818-286-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6878 BECK AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916056205",
            "telephone_number": "818-691-0286",
            "fax_number": "818-286-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA DRUG COMPOUNDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "IRMA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "818-284-4008"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "51459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.