OrganizationActive
Magic Potion Inc
NPI 1912062332 · Community/Retail Pharmacy · Lake Forest, CA
Magic Potion Inc is a Community/Retail Pharmacy organization in Lake Forest, CA (NPI 1912062332).
Provider details
- NPI number
- 1912062332
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Gennady Soskin, Owner/Pharmacist(949) 830-8500
- License
- PHY47205 (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
24602 Raymond Way
Suite B
Lake Forest, CA 92630-4461
Phone: (949) 830-8500
Fax: (949) 830-9884
Street-level locationGet directions
Mailing address
24602 Raymond Way
Lake Forest, CA 92630-4461
Other names (DBA / former)
- Doing business as
- The Medicine Shoppe
Registry dates
- Enumerated
- 2006-12-26
- Last updated
- 2023-03-07
Frequently asked questions
- What is Magic Potion Inc's NPI number?
- Magic Potion Inc's National Provider Identifier (NPI) is 1912062332, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Magic Potion Inc?
- Magic Potion Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Magic Potion Inc located?
- Magic Potion Inc's practice location on file with NPPES is 24602 Raymond Way, Lake Forest, CA 92630-4461.
- What is Magic Potion Inc's phone number?
- The practice phone number listed in the NPPES registry for Magic Potion Inc is (949) 830-8500.
- Who is the authorized official for Magic Potion Inc?
- The authorized official listed on Magic Potion Inc's NPPES record is Gennady Soskin, Owner/Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Magic Potion Inc's NPI active?
- Yes — Magic Potion Inc's NPI (1912062332) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.