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GRANDPAS COMPOUNDING PHARMACY
NPI 1689715286
Pharmacy in Placerville, CA

Active since February 08, 2007
7563 GREEN VALLEY RD, PLACERVILLE, CA 95667(530) 622-2323(530) 622-2011 Get Directions Write a Review

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

About Grandpas Compounding Pharmacy NPPES

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

GRANDPAS COMPOUNDING PHARMACY (NPI 1689715286) is a healthcare organization registered as a pharmacy in Placerville, California and active in the NPI registry since February 2007. The organization lists Dan Wills, Manager, as its authorized official.

NPPES Registry Identity

NPI1689715286
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameGRANDPAS COMPOUNDING PHARMACY INC
Location Address7563 GREEN VALLEY RDPlacerville, CA 95667-3917
Mailing Address7563 Green Valley RdPlacerville, CA 95667-3917 · (530) 622-2323 · Fax (530) 622-2011
Phone(530) 622-2323
Fax(530) 622-2011
Organization SubpartNo
Authorized OfficialDan WillsManager · (530) 622-2323
Enumeration DateFebruary 8, 2007
Last NPPES UpdateNovember 23, 2015
✔ NPI 1689715286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in CA · PHY045878
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
7563 GREEN VALLEY RD, Placerville, CA 95667
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Other Names 1

Doing Business AsGrandpas Compounding Pharmacy

Other Identifiers 1

Other2155454Pk

Other Providers at the Same Location NPPES

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

RONALD LEE KEIL PHARMACIST
Pharmacist
7563 GREEN VALLEY RD
PLACERVILLE, CA 95667
El Dorado County (530) 622-2323

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 Grandpas Compounding Pharmacy Inc's NPI number?

The NPI number for Grandpas Compounding Pharmacy Inc is 1689715286. It was assigned to this organization in the NPPES registry on February 8, 2007. The provider is doing business as Grandpas Compounding Pharmacy.

Where is Grandpas Compounding Pharmacy Inc located?

Grandpas Compounding Pharmacy Inc is located at 7563 Green Valley Rd, Placerville, CA 95667. The listed phone number is (530) 622-2323.

What is Grandpas Compounding Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Grandpas Compounding Pharmacy Inc was last updated on November 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.