Park Compounding, Inc.
Community/Retail Pharmacy
9257 Research Dr, Irvine
California, 92618
844-446-6979 949-551-1950
Park Compounding, Inc. is a Community/Retail Pharmacy in Irvine, California. It is located at 9257 Research Dr, Irvine and it's customer support contact number is 844-446-6979. The authorized person of Park Compounding, Inc. is Andrew Boll who is Secretary & Cfo of the pharmacy and his contact number is 858-704-4040. Active license number of Park Compounding, Inc. is PHY53360 for Community/Retail Pharmacy in California. Park Compounding, Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Park Compounding, Inc. is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Park Compounding, 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: | Park Compounding, Inc. |
| Type: | Community/Retail Pharmacy |
| Location: | 9257 Research Dr, Irvine,
California, 92618 |
| Phone: | 844-446-6979 |
| Fax: | 949-551-1950 |
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: | Andrew Boll |
| Position: | Secretary & Cfo |
| Contact Number: | 858-704-4040 |
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: | 1114061132 |
| NPI Enumeration Date: | 16 Feb, 2007 |
| NPI Last Update On: | 01 Oct, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Park Compounding, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHY53360 | California | Primary | |
| Compounding Pharmacy | | | Secondary | |
| Pharmacy | | | Secondary | |
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 |
| 0522967 | Other | California | Ncpdp |
Medicare Enrollment:
Park Compounding, Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6305154071 | O20150929002389 | South Coast Specialty Compounding Inc | PART B SUPPLIER - OTHER |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 12264 El Camino Real Ste 350,
San Diego, California |
| Zip: | 92130-0001 |
| Phone Number: | 858-704-4040 |
| Fax Number: | 858-345-1745 |
Patients can reach Park Compounding, Inc. at
9257 Research Dr, Irvine, California or can
call on customer care at 844-446-6979.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.