Vintage Compounding Pharmacy LLC
NPI 1457030900ActiveOrganization· Pharmacy, Compounding Pharmacy· Albuquerque, NM
Pharmacy, Compounding Pharmacy in Albuquerque, New Mexico, registered in NPPES in July 2023. The authorized official on file is Mohammad Zamanian, Pharm.D, Rph.
Overview
| NPI | 1457030900 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 12, 2023 |
| Last updated in NPPES | Jul 20, 2023 |
| Certified by provider | Jul 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
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