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Redwood Compounding Pharmacy Inc

Compounding Pharmacy in Rohnert Park, CA · enumerated 2011 · authorized official Moussie Hailemariam, President/ Pic.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1598032278

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Redwood Compounding Pharmacy Inc
Other name <Unavail>
Practice address 600 Martin Ave, Ste 125, Rohnert Park, CA, 94928
Fax (707) 541-6287
Enumeration date Nov 22, 2011
Last updated in NPPES Nov 22, 2011

Taxonomy & classification

333600000X Pharmacy Suppliers · License PHY50691 (CA) Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License PHY50691 (CA) Secondary
3336C0004X Compounding Pharmacy Suppliers · License PHY50691 (CA) Primary

Authorized official

Name Moussie Hailemariam
Title President/ Pic

Other identifiers

Identifier Type State Issuer
PHY50691 Other CA CALIFORNIA STATE BOARD OF PHARMACY RETAIL PERMIT

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.

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Frequently asked questions

Where is Redwood Compounding Pharmacy Inc located?
The practice location on file with NPPES is in Rohnert Park, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-11-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-11-22.