PHARMACA INTEGRATIVE PHARMACY, INC. (NPI# 1548707391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548707391 |
| Entity Type | Organization |
| Organization Name | PHARMACA INTEGRATIVE PHARMACY, INC. |
| Other Organization Name | PHARMACA |
| Practice Address |
26538 Moulton Pkwy Ste G Laguna Hills CA 92653-8242 |
| Mailing Address |
4940 Pearl East Cir Suite 301 Boulder CO 80301-2489 |
| Practice Telephone | 9499001605 |
| Mailing Telephone | 3038673182 |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-07-20 |
| Authorized Official Name | GREG LEGORE (DIRECTOR OF PHARMACY OPERATIONS) |
| Authorized Official Telephone | 8052175986 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Pharmaca | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780966507 | Pharmaca Integrative Pharmacy, Inc. | Pharmacy | 6985 El Camino Real, A103, Carlsbad, CA 92009-4148 | 2011-09-19 |
| 1417265729 | Pharmaca Integrative Pharmacy, Inc. | Pharmacy | 871 Santa Cruz Ave, Menlo Park, CA 94025 | 2010-09-21 |
| 1598937161 | Pharmaca Integrative Pharmacy, Inc. | Pharmacy | 5729 College Ave, Oakland, CA 94618 | 2008-03-24 |
| 1104003318 | Pharmaca Integrative Pharmacy, Inc. | Pharmacy | 570 Munras Ave Ste 10, Monterey, CA 93940 | 2008-01-30 |
| 1073707683 | Pharmaca Integrative Pharmacy, Inc. | Pharmacy | 7650 Girard Ave, La Jolla, CA 92037 | 2007-08-28 |
| 1376737981 | Pharmaca Integrative Pharmacy, Inc. | Pharmacy | 54 N Santa Cruz Ave, Los Gatos, CA 95030 | 2007-08-28 |
| 1346433158 | Pharmaca Integrative Pharmacy, Inc. | Pharmacy | 4020 Bel Aire Plz, Napa, CA 94558 | 2007-08-24 |
| 1578760260 | Pharmaca Integrative Pharmacy, Inc. | Pharmacy | 1815 N. 45th Street, Suite 110, Seattle, WA 98103 | 2007-06-27 |
| 1013069822 | Pharmaca Integrative Pharmacy, Inc. | Pharmacy | 15840 Redmond Way, Redmond, WA 98052 | 2007-01-18 |
| 1851454169 | Pharmaca Integrative Pharmacy, Inc. | Pharmacy | 925 Cole St, San Francisco, CA 94117 | 2006-12-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PHARMACA INTEGRATIVE PHARMACY, INC. | 4130 E Madison, Seattle, WA 98112 |
| Oregon Corporations, Companies and Business Names | PHARMACA INTEGRATIVE PHARMACY, INC. | 13 Nw 23rd Pl, Portland, OR 97210 |
| Colorado Business Entities | Pharmaca Integrative Pharmacy, Inc. | 4940 Pearl East Circle, Suite 301, Boulder, CO 80301 |
| Street Address |
26538 MOULTON PKWY STE G |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-8242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104217934 | Pharmaca Integrative Pharmacy, Inc | Pharmacy | 26538 Moulton Pkwy Ste G, Laguna Hills, CA 92653-8232 | 2015-02-16 |
| 1093184491 | Laurel Hipszer | Pharmacist | 26538 Moulton Pkwy Ste G, Laguna Hills, CA 92653-8242 | 2015-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | LAGUNA HILLS |
| Zip Code | 92653 |
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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.