PARK COMPOUNDING PHARMACY NPI 1376658740

NPI Information

  • NPI: 1376658740
  • Provider Name: PARK COMPOUNDING PHARMACY
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Address: 280 N WESTLAKE BLVD
    STE 100
    WESTLAKE VILLAGE, CA
    ZIP 91362
  • Phone: (805) 497-8258

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NPI Details

PARK COMPOUNDING PHARMACY is a pharmacy in Westlake Village, CA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. PARK COMPOUNDING PHARMACY NPI is 1376658740. The provider is registered as an organization entity type.

The provider's business location address is:

280 N WESTLAKE BLVD
STE 100
WESTLAKE VILLAGE, CA
ZIP 91362-759
Phone: (805) 497-8258
Fax: (805) 497-7548

The provider's authorized official is Tony Park .
The authorized official title is Vp and has the following contact phone number (805) 497-8258.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 8/14/2007.

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
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336S0011XPharmacySpecialty PharmacyNo
33336M0002XPharmacyMail Order PharmacyNo
43336C0004XPharmacyCompounding PharmacyNo
5333600000XPharmacyPHY43809CALIFORNIAYes

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
1PHY43809MEDICARE PINCALIFORNIA
20511522OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
3PHY43809MEDICARE UPINCALIFORNIA
4PHA438090MEDICAIDCALIFORNIA

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: 11/21/2025

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