Organization Active NPI

Medcompounders Pharmacy Inc

  • Community/Retail Pharmacy
  • Long Beach, CA
National Provider Identifier
1992126205
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
51696 Issued in CA
Legal business name
MEDCOMPOUNDERS PHARMACY INC
Practice address
3855 Atlantic Ave
Long Beach, CA 90807-3315
Phone
(562) 427-1999
Fax
(562) 427-2999
NPI assigned
Jan 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Authorized official

Name
Miss Debora B Markzar, PHARMDNPI 1023389228
Title
Ceo /Pharmacist
Phone
(310) 666-3987

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 51696 CA Primary

Addresses

Primary practice location

3855 Atlantic Ave
Long Beach, CA 90807-3315

Mailing address

3855 Atlantic Ave
Long Beach, CA 90807-3315
Phone (562) 427-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160419002961 CA Part B Supplier - Pharmacy 2668770900 Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Locations

3711 Long Beach Blvd
Ste 808
Long Beach, CA 90807
Phone (562) 427-1999

3855 Atlantic Ave
Long Beach, CA 90807
Phone (562) 427-1999

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1388793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1992126205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073315",
            "telephone_number": "562-427-1999",
            "fax_number": "562-427-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073315",
            "telephone_number": "562-427-1999",
            "fax_number": "562-427-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCOMPOUNDERS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-04",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "MARKZAR",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO /PHARMACIST",
        "authorized_official_telephone_number": "310-666-3987",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "51696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.