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VINTAGE COMPOUNDING PHARMACY LLC
NPI 1457030900
Pharmacy - Compounding Pharmacy in Albuquerque, NM

Active since July 12, 2023
9821 MONTGOMERY BLVD NE STE A, ALBUQUERQUE, NM 87111(505) 620-4352 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2023, Jul 12, 2023 (2 updates tracked since 2023).

About Vintage Compounding Pharmacy Llc NPPES

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

VINTAGE COMPOUNDING PHARMACY LLC (NPI 1457030900), doing business as Vintage Compounding Pharmacy, is a healthcare organization registered as a compounding pharmacy in Albuquerque, New Mexico and active in the NPI registry since July 2023. The organization lists Mohammad Zamanian, Pharm.d, Rph, as its authorized official.

NPPES Registry Identity

NPI1457030900
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameVINTAGE COMPOUNDING PHARMACY LLC
Location Address9821 MONTGOMERY BLVD NE STE AAlbuquerque, NM 87111-3571
Mailing Address9821 Montgomery Blvd Ne Ste AAlbuquerque, NM 87111-3571 · (505) 620-4352
Phone(505) 620-4352
Organization SubpartNo
Authorized OfficialMohammad ZamanianPharm.d, Rph · (505) 620-4352
Enumeration DateJuly 12, 2023
Last NPPES UpdateJuly 20, 20232 updates tracked since enumeration
NPPES CertifiedJuly 20, 2023
✔ NPI 1457030900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
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.
9821 MONTGOMERY BLVD NE STE A, Albuquerque, NM 87111
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Other Names 1

Doing Business AsVintage Compounding Pharmacy

Other Providers at the Same Location NPPES

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

PARISA SOLTANIFAR
Pharmacist (Cardiology)
9821 MONTGOMERY BLVD NE STE A
ALBUQUERQUE, NM 87111
Bernalillo County (505) 200-9095

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 Vintage Compounding Pharmacy LLC's NPI number?

The NPI number for Vintage Compounding Pharmacy LLC is 1457030900. It was assigned to this organization in the NPPES registry on July 12, 2023. The provider is doing business as Vintage Compounding Pharmacy.

Where is Vintage Compounding Pharmacy LLC located?

Vintage Compounding Pharmacy LLC is located at 9821 Montgomery Blvd NE Ste A, Albuquerque, NM 87111. The listed phone number is (505) 620-4352.

What is Vintage Compounding Pharmacy LLC'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 Vintage Compounding Pharmacy LLC was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.