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SOUTHERN CALIFORNIA COMPOUNDING PHARMACY
NPI 1669617734
Pharmacy - Compounding Pharmacy in San Diego, CA

Active since December 03, 2008
11125 FLINTKOTE AVE STE F, SAN DIEGO, CA 92121(858) 622-1278(858) 622-1283 Get Directions Write a Review

NPPES record last updated: October 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern California Compounding Pharmacy NPPES

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

SOUTHERN CALIFORNIA COMPOUNDING PHARMACY (NPI 1669617734) is a healthcare organization registered as a compounding pharmacy in San Diego, California and active in the NPI registry since December 2008. The organization lists Ollen Williams, Technician, as its authorized official.

NPPES Registry Identity

NPI1669617734
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameSOUTHERN CALIFORNIA COMPOUNDING PHARMACY
Location Address11125 FLINTKOTE AVE STE FSan Diego, CA 92121-1213
Mailing Address11125 Flintkote Ave Ste FSan Diego, CA 92121-1213 · (858) 622-1278 · Fax (858) 622-1283
Phone(858) 622-1278
Fax(858) 622-1283
Organization SubpartNo
Authorized OfficialOllen WilliamsTechnician · (858) 622-1278
Enumeration DateDecember 3, 2008
Last NPPES UpdateOctober 23, 2015
✔ NPI 1669617734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
License✔ Licensed in CA · PHY49147
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
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
Also ListedPharmacy · Mail Order PharmacyTaxonomy 3336M0002X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
11125 FLINTKOTE AVE STE F, San Diego, CA 92121
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Other Names 1

Doing Business AsSouthern California Compounding Pharmacy

Other Identifiers 1

Other2117954Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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 Southern California Compounding Pharmacy's NPI number?

The NPI number for Southern California Compounding Pharmacy is 1669617734. It was assigned to this organization in the NPPES registry on December 3, 2008.

Where is Southern California Compounding Pharmacy located?

Southern California Compounding Pharmacy is located at 11125 Flintkote Ave Ste F, San Diego, CA 92121. The listed phone number is (858) 622-1278.

What is Southern California Compounding Pharmacy's specialty?

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

What insurance does Southern California Compounding Pharmacy accept?

Health plans from Medica list Southern California Compounding Pharmacy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern California Compounding Pharmacy was last updated on October 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.