Pacific Oak Compounding Pharmacy, Inc.
NPI 1174179030 · Community/Retail Pharmacy · Arcadia, CA
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pacific Oak Compounding Pharmacy, Inc. is a Community/Retail Pharmacy organization in Arcadia, CA (NPI 1174179030).
Provider details
- NPI number
- 1174179030
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- John Kong, Ceo(626) 348-8930
Specialties & taxonomies
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
- 2019-08-15
- Last updated
- 2023-09-20
- Certified
- 2023-09-20
Frequently asked questions
- What is Pacific Oak Compounding Pharmacy, Inc.'s NPI number?
- Pacific Oak Compounding Pharmacy, Inc.'s National Provider Identifier (NPI) is 1174179030, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacific Oak Compounding Pharmacy, Inc.?
- Pacific Oak Compounding Pharmacy, Inc. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Pacific Oak Compounding Pharmacy, Inc. located?
- Pacific Oak Compounding Pharmacy, Inc.'s practice location on file with NPPES is 12 N 1st Ave, Arcadia, CA 91006-3205.
- What is Pacific Oak Compounding Pharmacy, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Pacific Oak Compounding Pharmacy, Inc. is (626) 348-8930.
- Does Pacific Oak Compounding Pharmacy, Inc. accept Medicare?
- Pacific Oak Compounding Pharmacy, Inc. 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 Pacific Oak Compounding Pharmacy, Inc.?
- The authorized official listed on Pacific Oak Compounding Pharmacy, Inc.'s NPPES record is John Kong, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacific Oak Compounding Pharmacy, Inc.'s NPI active?
- Yes — Pacific Oak Compounding Pharmacy, Inc.'s NPI (1174179030) is active in the NPPES registry as of the last update on 2023-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.