AMER RX INC (NPI# 1063657690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063657690 |
| Entity Type | Organization |
| Organization Name | AMER RX INC |
| Other Organization Name | AGEWELL PHARMACY |
| Practice Address |
191 Burton Mesa Blvd Suite A Lompoc CA 93436-1400 |
| Practice Telephone | 8057332060 |
| Practice Fax Number | 8057332061 |
| Mailing Telephone | 8057332060 |
| Mailing Fax Number | 8057332061 |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2016-04-06 |
| Authorized Official Name | AMRO AMER (OWNER) |
| Authorized Official Telephone | 8057332060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | PH22628 | FL | Suppliers |
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
029968 | NY | Suppliers |
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
49116 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2118100 | 01 |
| Other Name | Type Code |
|---|---|
| Agewell Pharmacy | Doing Business As Name - Organization |
| Street Address |
191 BURTON MESA BLVD SUITE A |
| City | LOMPOC |
| State | CA |
| Zip Code | 93436-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669406849 | Jeffrey Lynn Danhauer | Audiologist | 191 Burton Mesa Blvd, Ste. C, Lompoc, CA 93436-1400 | 2006-07-11 |
| 1710341805 | Mackenzy Bailey | Speech-Language Pathologist | 191 Burton Mesa Blvd, Ste B, Lompoc, CA 93436-1400 | 2016-04-05 |
| 1447514575 | Julia Irene Schmidt | Speech-Language Pathologist | 191 Burton Mesa Blvd, Suite B, Lompoc, CA 93436-1400 | 2012-07-03 |
| 1639450844 | Gina M Rotondo | Speech-Language Pathologist | 191 Burton Mesa Blvd, Suite B, Lompoc, CA 93436-1400 | 2011-08-31 |
| 1770892812 | Sandra Grace Albert | Speech-Language Pathologist | 191 Burton Mesa Blvd, Lompoc, CA 93436 | 2010-10-06 |
| 1134377401 | Christina Denise Kleckner | Speech-Language Pathologist | 191 Burton Mesa Blvd, Suite B, Lompoc, CA 93436-1400 | 2008-08-28 |
| 1215139068 | David Scott Elam | Speech-Language Pathologist | 191 Burton Mesa Blvd, #d, Lompoc, CA 93436-1400 | 2007-06-04 |
| 1508080896 | Hearing Consultants of California | Audiologist | 191 Burton Mesa Blvd, Ste.c, Lompoc, CA 93436-1400 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671498 | Bonnie O'brien | Technician | 4174 Sirius Avenue, Lompoc, CA 93436 | 2019-10-21 |
| 1043734056 | Stevens Life Chiropractic, PC | Chiropractor | 217-a West Central Ave, Lompoc, CA 93436 | 2017-08-01 |
| 1548621014 | Kimberly Gaynell Wiley | Home Health Aide | 610 East Pine St #34, Lompoc, CA 93436 | 2016-03-11 |
| 1386017960 | Marcos Paul Cline | Counselor | 117 North 'b' Street, Lompoc, CA 93436 | 2015-11-04 |
| 1487045324 | Angela Rose Robinson | Case Manager/Care Coordinator | 113 North H Street, Suite F, Lompoc, CA 93436 | 2015-02-13 |
| 1851795751 | Alina Staniger | Counselor | 604 W Ocean, Lompoc, CA 93436 | 2014-10-21 |
| 1154750560 | Lompoc Valley Medical Center | General Acute Care Hospital | 303 South C Street, Lompoc, CA 93436 | 2013-11-06 |
| 1598191488 | David Lewis Mcaninch Iv | Dentist | 1111 East Ocean Avenue, Suite 9, Lompoc, CA 93436 | 2013-09-24 |
| 1336407048 | Pamela Jordan | Counselor | 110 S. 'c' St. Ste. A, Family Service Agency, Lompoc, CA 93436 | 2012-05-01 |
| 1316220874 | Zillah J. Hodgkins | Counselor | 513 N G St, Lompoc, CA 93436 | 2011-09-21 |
| Find all providers in zip 93436 | ||||
| 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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| 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 | ||||
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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.