Innovative Rx Inc
Compounding Pharmacy
275 Victoria St, Ste 1f, Costa Mesa
California, 92627-1906
949-642-0106 949-642-5039
Innovative Rx Inc is a Compounding Pharmacy in Costa Mesa, California. It is located at 275 Victoria St, Ste 1f, Costa Mesa and it's customer support contact number is 949-642-0106. The authorized person of Innovative Rx Inc is Mayank Shan who is President of the pharmacy and his contact number is 949-642-0106. Active license number of Innovative Rx Inc is PHY48847 for Compounding Pharmacy in California.
Innovative Rx Inc is 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.
Pharmacy Details:
Innovative Rx Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Innovative Rx Inc |
| Type: | Compounding Pharmacy |
| Location: | 275 Victoria St, Ste 1f, Costa Mesa,
California, 92627-1906 |
| Phone: | 949-642-0106 |
| Fax: | 949-642-5039 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mayank Shan |
| Position: | President |
| Contact Number: | 949-642-0106 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1063524056 |
| NPI Enumeration Date: | 31 Aug, 2006 |
| NPI Last Update On: | 01 Oct, 2009 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Innovative Rx Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Compounding Pharmacy | PHY48847 | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0525468 | Other | | Ncpdp Provider Identification Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 275 Victoria St, Ste 1f
Costa Mesa, California |
| Zip: | 92627-1906 |
| Phone Number: | 949-642-0106 |
| Fax Number: | 949-642-5039 |
Patients can reach Innovative Rx Inc at
275 Victoria St, Ste 1f, Costa Mesa, California or can
call on customer care at 949-642-0106.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.