REDWOOD COMPOUNDING PHARMACY
NPI 1598032278
Pharmacy - Compounding Pharmacy in Rohnert Park, CA

Active since November 22, 2011
600 MARTIN AVE, STE 125, ROHNERT PARK, CA 94928(707) 541-6186(707) 541-6287 Get Directions Write a Review

NPPES record last updated: November 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Redwood Compounding Pharmacy NPPES

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

REDWOOD COMPOUNDING PHARMACY (NPI 1598032278) is a healthcare organization registered as a compounding pharmacy in Rohnert Park, California and active in the NPI registry since November 2011. The organization lists Moussie Hailemariam, President/ Pic, as its authorized official.

NPPES Registry Identity

NPI1598032278
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameREDWOOD COMPOUNDING PHARMACY INC
Location Address600 MARTIN AVE, STE 125Rohnert Park, CA 94928-7919
Mailing Address600 Martin Ave, Ste 125Rohnert Park, CA 94928-7919 · (707) 541-6186 · Fax (707) 541-6287
Fax(707) 541-6287
Organization SubpartNo
Authorized OfficialMoussie HailemariamPresident/ Pic · (707) 541-6186
Enumeration DateNovember 22, 2011
NPI 1598032278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
License Licensed in CA · PHY50691
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.
Also ListedPharmacyTaxonomy 333600000X · License PHY50691 (CA)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License PHY50691 (CA)
600 MARTIN AVE, Rohnert Park, CA 94928

Other Names 1

Doing Business AsRedwood Compounding Pharmacy

Other Identifiers 1

OtherPHY50691CA · California State Board Of Pharmacy Retail Permit

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 Redwood Compounding Pharmacy Inc's NPI number?

The NPI number for Redwood Compounding Pharmacy Inc is 1598032278. It was assigned to this organization in the NPPES registry on November 22, 2011. The provider is doing business as Redwood Compounding Pharmacy.

Where is Redwood Compounding Pharmacy Inc located?

Redwood Compounding Pharmacy Inc is located at 600 Martin Ave Ste 125, Rohnert Park, CA 94928. The listed phone number is (707) 541-6186.

What is Redwood Compounding Pharmacy 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 Redwood Compounding Pharmacy Inc was last updated on November 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.