CUSTOM HEALTHCARE COMPOUNDING PHARMACY – NPI #1467794552
Pharmacist

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

Health Care Provider Taxonomy Code for Pharmacist

CUSTOM HEALTHCARE COMPOUNDING PHARMACY is a pharmacist located in LAGUNA HILLS, CA. NPPES has assigned the NPI number 1467794552 to CUSTOM HEALTHCARE COMPOUNDING PHARMACY on March 27, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 1835P0018X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

The NPI profile was previously updated about 11 years ago on Sep 28, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CUSTOM HEALTHCARE COMPOUNDING PHARMACY below.

NPI Profile for
CUSTOM HEALTHCARE COMPOUNDING PHARMACY

NPI Number
1467794552
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CUSTOM HEALTHCARE COMPOUNDING PHARMACY
Primary location
24022 CALLE DE LA PLATA STE 510
LAGUNA HILLS, CA 92653-3631
Phone: (949) 595-2273 Fax: (949) 595-2275
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANHVUONG LY
PHARMACIST IN CHARGE
Phone: (925) 330-8975
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
1835P0018X
- Pharmacist / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Primary)		 CA 51905

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.