OrganizationActive
San Diego Compounding Pharmacy
NPI 1730257593 · Community/Retail Pharmacy · San Diego, CA
Provider details
- NPI number
- 1730257593
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jerome Greene, Pharmacist Owner(858) 277-8884
- License
- PHY99276 (CA)
Specialties & taxonomies
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
5395 Ruffin Road
#104
San Diego, CA 92123
Phone: (858) 277-8884
Fax: (858) 277-8889
Street-level locationGet directions
Mailing address
5395 Ruffin Road
San Diego, CA 92123
Registry dates
- Enumerated
- 2006-12-01
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.