OrganizationActive
Park Compounding, Inc.
NPI 1114061132 · Community/Retail Pharmacy · Irvine, CA
Park Compounding, Inc. is a Community/Retail Pharmacy organization in Irvine, CA (NPI 1114061132).
Provider details
- NPI number
- 1114061132
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Andrew Boll, Secretary & Cfo(858) 704-4040
Specialties & taxonomies
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(90/100 index)
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
9257 Research Dr
Irvine, CA 92618
Phone: (844) 446-6979
Fax: (949) 551-1950
Street-level locationGet directions
Mailing address
12264 El Camino Real Ste 350
San Diego, CA 92130-0001
Registry dates
- Enumerated
- 2007-02-16
- Last updated
- 2018-10-01
Frequently asked questions
- What is Park Compounding, Inc.'s NPI number?
- Park Compounding, Inc.'s National Provider Identifier (NPI) is 1114061132, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park Compounding, Inc.?
- Park Compounding, Inc. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Park Compounding, Inc. located?
- Park Compounding, Inc.'s practice location on file with NPPES is 9257 Research Dr, Irvine, CA 92618.
- What is Park Compounding, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Park Compounding, Inc. is (844) 446-6979.
- Who is the authorized official for Park Compounding, Inc.?
- The authorized official listed on Park Compounding, Inc.'s NPPES record is Andrew Boll, Secretary & Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Park Compounding, Inc.'s NPI active?
- Yes — Park Compounding, Inc.'s NPI (1114061132) is active in the NPPES registry as of the last update on 2018-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.