Innovative Compounding Pharmacy
NPI 1083829170 · Compounding Pharmacy · Folsom, CA
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Innovative Compounding Pharmacy is a Compounding Pharmacy organization in Folsom, CA (NPI 1083829170).
Provider details
- NPI number
- 1083829170
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Anna Rashidi, Ownerpharmacist(916) 984-9222
- License
- PHY 48417 (CA)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-11
- Last updated
- 2007-08-03
Frequently asked questions
- What is Innovative Compounding Pharmacy's NPI number?
- Innovative Compounding Pharmacy's National Provider Identifier (NPI) is 1083829170, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Compounding Pharmacy?
- Innovative Compounding Pharmacy is classified in the NPPES registry as Compounding Pharmacy (Suppliers).
- Where is Innovative Compounding Pharmacy located?
- Innovative Compounding Pharmacy's practice location on file with NPPES is 820 Wales Dr, Folsom, CA 95630-5546.
- What is Innovative Compounding Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Innovative Compounding Pharmacy is (916) 984-9222.
- Does Innovative Compounding Pharmacy accept Medicare?
- Innovative Compounding Pharmacy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Innovative Compounding Pharmacy?
- The authorized official listed on Innovative Compounding Pharmacy's NPPES record is Anna Rashidi, Ownerpharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Compounding Pharmacy's NPI active?
- Yes — Innovative Compounding Pharmacy's NPI (1083829170) is active in the NPPES registry as of the last update on 2007-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.