SGV COMPOUNDING PHARMACY INC (NPI# 1023377504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023377504 |
| Entity Type | Organization |
| Organization Name | SGV COMPOUNDING PHARMACY INC |
| Other Organization Name | SGV COMPOUNDING PHARMACY |
| Practice Address |
5610 1/2 Rosemead Blvd Temple City CA 91780-1849 |
| Practice Telephone | 6262915014 |
| Practice Fax Number | 6262915695 |
| Mailing Telephone | 6262915014 |
| Mailing Fax Number | 6262915695 |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2013-07-31 |
| Authorized Official Name | PHILIP CHEUNG (OWNER) |
| Authorized Official Telephone | 6267578675 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PHY50946 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2134361 | 01 |
| Other Name | Type Code |
|---|---|
| SGV Compounding Pharmacy | Doing Business As Name - Organization |
| Street Address |
5610 1/2 ROSEMEAD BLVD |
| City | TEMPLE CITY |
| State | CA |
| Zip Code | 91780-1849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932270865 | Irene E Chen | Acupuncturist | 5610 1/2 Rosemead Blvd, Temple City, CA 91780-1849 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326577115 | Robin Bryna Evans | Dietitian, Registered | 5405 Golden West Avenue, Temple City, CA 91780 | 2017-06-06 |
| 1972049062 | Joseph Romero Mireles | Behavior Technician | 5938 1/2 Camellia Ave., Temple City, CA 91780 | 2017-01-12 |
| 1558719195 | Esmeralda Nowak | Physical Therapy Assistant | 5239 Barela Ave., Temple City, CA 91780 | 2016-05-24 |
| 1306202031 | Nicole Stevenson Barab | Counselor | 10428 Lower Azusa, Pacific Clinics, El Monte, CA 91780 | 2016-01-11 |
| 1346616844 | Pregnancy Help Center of San Gabriel Valley, Inc. | Voluntary or Charitable | 5626 N. Rosemead Blvd, Temple City, CA 91780 | 2015-08-19 |
| 1417333808 | Sunny Smile Dental | Dentist | 9216 Las Tunas Drive, Temple City, CA 91780 | 2015-08-07 |
| 1336561505 | Yuanhui Zheng | Acupuncturist | 9559 Las Tunas Dr., Temple City, CA 91780 | 2014-01-07 |
| 1609167758 | Jin Kook Choi | Pharmacist | 9450 East Las Tunas Dr, Temple City, CA 91780 | 2011-04-25 |
| 1952603706 | Lisa Ly Pham | Social Worker | 5945 Camellia Ave, Temple City, CA 91780 | 2010-11-30 |
| 1467788174 | Yanming Zhang | Acupuncturist | 9965 Broadway, Temple City, CA 91780 | 2009-10-30 |
| Find all providers in zip 91780 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
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| 1609496215 | Kaiser Foundation Hospitals | Pharmacy | 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 | 2020-04-23 |
| 1093278236 | Gold Country Compounding LLC | Pharmacy | 11990 Heritage Oak Pl Ste 2c, Auburn, CA 95603-2405 | 2019-04-12 |
| 1669935177 | Creative Care-rx, Inc. | Pharmacy | 3303 Harbor Blvd Ste C4, Costa Mesa, CA 92626-1518 | 2019-04-11 |
| 1396204095 | Nordahl Pharmacy Corp | Pharmacy | 740 Nordahl Rd Ste 120, San Marcos, CA 92069-3545 | 2019-03-13 |
| 1104329820 | Oz Med, Inc. | Pharmacy | 44150 Town Center Way, Ste B4, Palm Desert, CA 92260 | 2018-03-09 |
| 1639688732 | Cure Stat Rx Home Infusion and Specialty Pharmacy Inc | Pharmacy | 6725 Mesa Ridge Rd Ste 202&230, San Diego, CA 92121-2923 | 2017-09-21 |
| 1770010068 | Onesource Compounding Pharmacy | Pharmacy | 104 Whispering Pines Dr Ste 105, Scotts Valley, CA 95066 | 2017-05-17 |
| 1326498619 | Preferred Pharmacy Inc | Pharmacy | 3303 Harbor Blvd Ste H7, Costa Mesa, CA 92626-1523 | 2016-06-16 |
| 1720449267 | Hot Springs Pharmacy Inc | Pharmacy | 13313 Palm Dr Ste A, Desert Hot Springs, CA 92240-5980 | 2016-03-11 |
| 1447619432 | Qps Pharmacy Inc | Pharmacy | 18502 Beach Blvd, Suite 116, Huntington Beach, CA 92648-2019 | 2016-02-18 |
| Find all providers with the same taxonomy | ||||
| City | TEMPLE CITY |
| Zip Code | 91780 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.