Professional Compounding Pharmacy

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

51496 Issued in CA

Legal business name

PROFESSIONAL COMPOUNDING PHARMACY

Practice address

721 W Whittier Blvd
Suite H
La Habra, CA 90631-3759

Phone

(562) 694-5100

Fax

(562) 375-6276

NPI assigned

Jul 12, 2013

Last updated

Jul 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James N Bell

Title

Principal

Phone

(562) 694-5100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1932540325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W WHITTIER BLVD",
            "address_2": "SUITE H",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313759",
            "telephone_number": "562-694-5100",
            "fax_number": "562-375-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W WHITTIER BLVD",
            "address_2": "SUITE H",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313759",
            "telephone_number": "562-694-5100",
            "fax_number": "562-375-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "562-694-5100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CA",
            "license": "51496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Posada, M.S., CCC-SLP
• Rafael Teovaldo Pou
• Sabrina Vanessa Powers, IBCLC
• Agung Pribadi, DDS
• Rachmawati Pribadi, DDS
• Veronica Pruna
• Puja Parekh O D Inc
• Juana Pulido
• Virginia Purnell, LCSW
• Swati M Purohit, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.