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COSTA MESA COMPOUNDING PHARMACY
NPI 1063524056
Pharmacy - Compounding Pharmacy in Costa Mesa, CA

Active since August 31, 2006
275 VICTORIA ST, STE 1F, COSTA MESA, CA 92627(949) 642-0106(949) 642-5039 Get Directions Write a Review

NPPES record last updated: October 1, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Costa Mesa Compounding Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COSTA MESA COMPOUNDING PHARMACY (NPI 1063524056) is a healthcare organization registered as a compounding pharmacy in Costa Mesa, California and active in the NPI registry since August 2006. The organization lists Mayank Shan, President, as its authorized official.

NPPES Registry Identity

NPI1063524056
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameINNOVATIVE RX INC
Location Address275 VICTORIA ST, STE 1FCosta Mesa, CA 92627-1906
Mailing Address275 Victoria St, Ste 1fCosta Mesa, CA 92627-1906 · (949) 642-0106 · Fax (949) 642-5039
Phone(949) 642-0106
Fax(949) 642-5039
Organization SubpartNo
Authorized OfficialMayank ShanPresident · (949) 642-0106
Enumeration DateAugust 31, 2006
Last NPPES UpdateOctober 1, 2009
✔ NPI 1063524056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
License✔ Licensed in CA · PHY48847
Definition
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.
275 VICTORIA ST, Costa Mesa, CA 92627
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Other Names 1

Doing Business AsCosta Mesa Compounding Pharmacy

Other Identifiers 1

Other0525468Ncpdp Provider Identification Number

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NAZLI AHMED, M.D., INC.
Family Medicine
275 VICTORIA ST, # 2M
COSTA MESA, CA 92627
Orange County (949) 642-5390
NEWPORT MESA MEDICAL GROUP, INC
Internal Medicine
275 VICTORIA ST, STE 1E
COSTA MESA, CA 92627
Orange County (949) 574-3615
DR. DAVID GREENBERG D.C.
Chiropractor
275 VICTORIA ST, STE. 2A
COSTA MESA, CA 92627
Orange County (949) 574-2700
ESPERANZA TONG
Licensed Vocational Nurse
275 VICTORIA ST
COSTA MESA, CA 92627
Orange County (949) 629-2860
KAREN MUNA MFT
Marriage & Family Therapist
275 VICTORIA ST, 2L
COSTA MESA, CA 92627
Orange County (194) 972-2118
MS. RITA K NIJJAR PA-C
Dermatology
275 VICTORIA ST, SUITE 1H
COSTA MESA, CA 92627
Orange County (949) 646-2311
ALI ASGHAR BEHZADNIA MD FACP
Internal Medicine (Endocrinology, Diabetes & Metabolism)
275 VICTORIA ST, #2J
COSTA MESA, CA 92627
Orange County (949) 650-0630
NATALIE MENDOZA PEREZ
Licensed Psychiatric Technician
275 VICTORIA ST
COSTA MESA, CA 92627
Orange County (949) 629-2860

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Rx Inc's NPI number?

The NPI number for Innovative Rx Inc is 1063524056. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Costa Mesa Compounding Pharmacy.

Where is Innovative Rx Inc located?

Innovative Rx Inc is located at 275 Victoria St Ste 1F, Costa Mesa, CA 92627. The listed phone number is (949) 642-0106.

What is Innovative Rx Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Innovative Rx Inc was last updated on October 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.