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Grandpas Compounding Pharmacy Inc

Pharmacy in Placerville, CA · enumerated 2007 · authorized official Dan Wills, Manager.

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

National Provider Identifier

1689715286

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Grandpas Compounding Pharmacy Inc
Other name <Unavail>
Practice address 7563 Green Valley Rd, Placerville, CA, 95667
Phone (530) 622-2323
Fax (530) 622-2011
Enumeration date Feb 8, 2007
Last updated in NPPES Nov 23, 2015

Taxonomy & classification

333600000X Pharmacy Suppliers · License PHY045878 (CA) Primary
3336C0003X Community/Retail Pharmacy Suppliers Secondary
3336C0004X Compounding Pharmacy Suppliers Secondary

Authorized official

Name Dan Wills
Title Manager
Phone (530) 622-2323

Other identifiers

Identifier Type State Issuer
2155454 Other - PK

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Grandpas Compounding Pharmacy Inc?
Grandpas Compounding Pharmacy Inc is registered in NPPES as a Pharmacy (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-11-23.