Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vintage Compounding Pharmacy LLC

Organization Compounding Pharmacy · NPI 1457030900

Vintage Compounding Pharmacy LLC is a Compounding Pharmacy in Albuquerque, New Mexico. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9821 Montgomery Blvd NE Ste A
Albuquerque, NM 87111-3571
Phone: (505) 620-4352
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Compounding Pharmacy (primary) Taxonomy 3336C0004X

Record details

NPI number1457030900
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohammad Zamanian — Pharm.D, Rph · (505) 620-4352
Other names Vintage Compounding Pharmacy
NPI enumeratedJuly 12, 2023
Last updated in NPPESJuly 20, 2023
Certification dateJuly 20, 2023
Mailing address9821 Montgomery Blvd Ne Ste A, Albuquerque, NM 87111-3571

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