Ross Valley Compounding Pharmacy, Inc.

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PHY52077 Issued in CA

Legal business name

ROSS VALLEY COMPOUNDING PHARMACY, INC.

Practice address

1525 Francisco Blvd E
Ste 1
San Rafael, CA 94901-5539

Phone

(415) 924-2480

Fax

(415) 924-1015

NPI assigned

Oct 30, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Paul W Lofholm, PHARMD

Title

President

Phone

(415) 924-2480

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1881099018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 FRANCISCO BLVD E",
            "address_2": "STE 1",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015539",
            "telephone_number": "415-924-2480",
            "fax_number": "415-924-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 FRANCISCO BLVD E",
            "address_2": "STE 1",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015539",
            "telephone_number": "415-924-2480",
            "fax_number": "415-924-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS VALLEY COMPOUNDING PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "LOFHOLM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-924-2480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CA",
            "license": "PHY52077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorie Rosenberg, LMFT
• Monica Rosenberg, RN
• Elon Rosenfeld, LAC
• Ellen G Rosenthal, MD
• Marleen Liesbeth Rosmark
• Camerin Ross
• Peggy Ross, NP
• Jennifer Dawn Rossi, MA
• Robin Rossman, M.A. C.C.C.
• Allison Rost, L.AC.

• Compounding Pharmacy in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Compounding Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.