Compound Central Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY48388 Issued in CA

Legal business name

COMPOUND CENTRAL PHARMACY

Practice address

5032 Katella Ave.
Los Alamitos, CA 90720-2802

Phone

(562) 431-2308

Fax

(562) 431-7124

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Tuan A Nguyen, RPH

Title

Pic

Phone

(562) 431-2308

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• COMPOUNDING CORNER PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracie Onaha-Nguyen, PHARM. D.

  • Pharmacist
  • Los Alamitos, CA
  • NPI 1841467107
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1972649598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5032 KATELLA AVE.",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202802",
            "telephone_number": "562-431-2308",
            "fax_number": "562-431-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5032 KATELLA AVE.",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202802",
            "telephone_number": "562-431-2308",
            "fax_number": "562-431-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPOUND CENTRAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TUAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "562-431-2308",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48388",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5625201",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPOUNDING CORNER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COMPOUNDING CORNER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gerald A Cohen, MD
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• Heena M Contractor, M.D.
• Karrie Cook

• Community/Retail Pharmacy in Los Alamitos, CA
• Providers in Los Alamitos, 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 Nov 4, 2021; 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.