ONESOURCE COMPOUNDING PHARMACY (NPI# 1770010068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770010068 |
Entity Type | Organization |
Organization Name | ONESOURCE COMPOUNDING PHARMACY |
Practice Address |
104 Whispering Pines Dr Ste 105 Scotts Valley CA 95066 |
Mailing Address |
104 Whispering Pines Dr Ste 105 Scotts Valley CA 95066-4799 |
Practice Telephone | 6092044503 |
Mailing Telephone | (609) 204-4503 |
Enumeration Date | 2017-05-17 |
Last Update Date | 2017-05-17 |
Authorized Official Name | MRS. SESYLIA ASTOR (PHARMACIST) |
Authorized Official Telephone | 8313456404 |
Authorized Official Credential | RPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PHY 55294 | CA | Suppliers |
Street Address |
104 WHISPERING PINES DR STE 105 |
City | SCOTTS VALLEY |
State | CA |
Zip Code | 95066 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861046377 | Nannette Benedict Dds Associates | Dentist | 5015 Scotts Valley Drive, Scotts Valley, CA 95066 | 2019-08-01 |
1457836314 | Erin Burton Josselyn | Social Worker | 125 Bethany Dr Ste 203, Scotts Valley, CA 95066 | 2018-09-26 |
1912393612 | Living Evolution: An Outdoor Experiential Learning Program Inc. | Nutritionist | 6001 Buttler Lane, Suite 206, Scotts Valley, CA 95066 | 2015-04-09 |
1750638375 | Denise Louise Quinn | Physical Therapist | 108 Whispering Pines Drive, Scotts Valley, CA 95066 | 2012-08-14 |
1194047100 | Kim Ann Chavez | Registered Nurse | 3650 Graham Hill Road, Juvenile Hall Nursing Unit, Santa Cruz, CA 95066 | 2010-02-17 |
1972755536 | Bethany University Counseling Center | Marriage & Family Therapist | 800 Bethany Drive, Scotts Valley, CA 95066 | 2008-10-15 |
1336343383 | Ali Eppy | Marriage & Family Therapist | 4113 Scotts Valley Drive, Suite 205, Scotts Valley, CA 95066 | 2007-06-13 |
1699825265 | Julie Carboni | Marriage & Family Therapist | 125 Bethany Drive Ste. N, Scotts Valley, CA 95066 | 2007-01-12 |
1902982143 | John A Stevens Dds Inc | Dentist | 221 H Mount Hermon Road, Scotts Valley, CA 95066 | 2006-10-31 |
1639264567 | John A Stevens | Dentist | 221 H Mount Hermon Rd, Scotts Valley, CA 95066 | 2006-10-04 |
Find all providers in zip 95066 |
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 |
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 |
1336512862 | Agia Pharmacy & Cafe Inc | Pharmacy | 276 S Mill St Ste A, Tehachapi, CA 93561-1628 | 2015-11-05 |
Find all providers with the same taxonomy |
City | SCOTTS VALLEY |
Zip Code | 95066 |
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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.