INNOVATIVE RX INC NPI 1063524056

NPI Information

  • NPI: 1063524056
  • Provider Name: INNOVATIVE RX INC
  • Classification: Pharmacy - 3336C0004X
  • Specialization: Compounding Pharmacy
  • Entity Type: Organization
  • Doing Business As: COSTA MESA COMPOUNDING PHARMACY
  • Address: 275 VICTORIA ST
    STE 1F
    COSTA MESA, CA
    ZIP 92627
  • Phone: (949) 642-0106

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NPI Details

INNOVATIVE RX INC is a compounding pharmacy pharmacy in Costa Mesa, CA. The provider is 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. INNOVATIVE RX INC NPI is 1063524056. The provider is registered as an organization entity type.
The provider Is Doing Business As Costa Mesa Compounding Pharmacy.

The provider's business location address is:

275 VICTORIA ST
STE 1F
COSTA MESA, CA
ZIP 92627-906
Phone: (949) 642-0106
Fax: (949) 642-5039

The provider's authorized official is Mayank Shan .
The authorized official title is President and has the following contact phone number (949) 642-0106.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 10/1/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0004XPharmacyCompounding PharmacyPHY48847CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10525468OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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