Park Compounding, Inc.
Park Compounding, Inc. is a healthcare organization registered as Community/Retail Pharmacy in Irvine, CA, holding Type 2 (organization) NPI 1114061132 since 2007. The authorized official on file is Andrew Boll, Secretary & Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114061132 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Park Compounding, Inc. |
| Practice address | 9257 RESEARCH DR, Irvine, CA, 92618 |
| Phone | 8444466979 |
| Fax | 9495511950 |
| Enumeration date | 2007-02-16 |
| Last updated in NPPES | 2018-10-01 |
Authorized official
| Name | Andrew Boll |
|---|---|
| Title | Secretary & Cfo |
| Phone | 8587044040 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0004X | Compounding Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | PHY53360 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0522967 | Other | CA | NCPDP |
Copy-ready billing details
Provider: Park Compounding, Inc. NPI: 1114061132 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 9257 RESEARCH DR, Irvine, CA, 92618
Verify this record
Cross-check NPI 1114061132 against the authoritative CMS record: view Park Compounding, Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Park Compounding, Inc.?
Who is the authorized official for Park Compounding, Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2018-10-01.