Southern California Compounding Pharmacy
NPI 1669617734 · Compounding Pharmacy · San Diego, CA
Southern California Compounding Pharmacy is a Compounding Pharmacy organization in San Diego, CA (NPI 1669617734).
Provider details
- NPI number
- 1669617734
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Ollen Williams, Technician(858) 622-1278
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
- Mail Order Pharmacy3336M0002X
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Other names (DBA / former)
- Doing business as
- Southern California Compounding Pharmacy
Registry dates
- Enumerated
- 2008-12-03
- Last updated
- 2015-10-23
Frequently asked questions
- What is Southern California Compounding Pharmacy's NPI number?
- Southern California Compounding Pharmacy's National Provider Identifier (NPI) is 1669617734, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern California Compounding Pharmacy?
- Southern California Compounding Pharmacy is classified in the NPPES registry as Compounding Pharmacy (Suppliers).
- Where is Southern California Compounding Pharmacy located?
- Southern California Compounding Pharmacy's practice location on file with NPPES is 11125 Flintkote Ave Ste F, San Diego, CA 92121-1213.
- What is Southern California Compounding Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Southern California Compounding Pharmacy is (858) 622-1278.
- Who is the authorized official for Southern California Compounding Pharmacy?
- The authorized official listed on Southern California Compounding Pharmacy's NPPES record is Ollen Williams, Technician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern California Compounding Pharmacy's NPI active?
- Yes — Southern California Compounding Pharmacy's NPI (1669617734) is active in the NPPES registry as of the last update on 2015-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.