Restorative Compounding Pharmacy and Wellness LLC
NPI 1265208193ActiveOrganization· Pharmacy, Compounding Pharmacy· Waterford, MI
Pharmacy, Compounding Pharmacy in Waterford, Michigan, registered in NPPES in December 2023. The authorized official on file is Rick Shamoon, Pic/Ceo.
Overview
| NPI | 1265208193 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 1, 2023 |
| Last updated in NPPES | Dec 1, 2023 |
| Certified by provider | Dec 1, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|