AMER RX INC — NPI 1063657690 (Licensed & Credentialed Suppliers — Pharmacy, Compounding Pharmacy in LOMPOC, CA)

CMS-1500 Box 24J / 33a • NPI

1063657690

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

3336C0004X (CMS 58)

Licensed & Credentialed Suppliers — Pharmacy, Compounding Pharmacy

Box 32 Service Location & ZIP+4

191 BURTON MESA BLVD, SUITE A, LOMPOC, CA, 93436-1400

✓ 9-Digit EDI 837 ZIP+4 (93436-1400)

Practice Phone & Referral Fax

(805) 733-2060

Fax: (805) 733-2061

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1063657690 (AMER RX INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1063657690` (NPI-2 Organization / Facility)
Provider / Legal Name	AMER RX INC
Plain-English Specialty	Licensed & Credentialed Suppliers — Pharmacy, Compounding Pharmacy NUCC Code: `3336C0004X` (Pharmacy, Compounding Pharmacy)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	191 BURTON MESA BLVD, SUITE A, LOMPOC, CA, 93436-1400
Practice Telephone / Fax	Tel: (805) 733-2060 \| Fax: (805) 733-2061
Administrative Mailing Address	191 BURTON MESA BLVD, LOMPOC, CA, 93436-1400
Enumeration & Last Sync	Enumerated: 2008-12-11 \| CMS Record Updated: 2016-04-06
Authorized Official	AMRO AMER (OWNER)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

191 BURTON MESA BLVD, SUITE A, LOMPOC, CA, 93436-1400

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Plain-English Taxonomy & CMS Crosswalk (3336C0004X)

What Does Taxonomy Code 3336C0004X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3336C0004X translates to:
"Licensed & Credentialed Suppliers — Pharmacy, Compounding Pharmacy"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 58 (Medical Supply Company with Pharmacist) • CMS Code A5 (Pharmacy)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacy, Compounding Pharmacy for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AMER RX INC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`3336C0004X` — Pharmacy, Compounding Pharmacy Plain English: Licensed & Credentialed Suppliers — Pharmacy, Compounding Pharmacy	State: NY \| License: `029968` \| Primary: Secondary
`333600000X` — Pharmacy Plain English: Licensed & Credentialed Suppliers — Pharmacy	State: FL \| License: `PH22628` \| Primary: Secondary
`3336C0004X` — Pharmacy, Compounding Pharmacy Plain English: Licensed & Credentialed Suppliers — Pharmacy, Compounding Pharmacy	State: CA \| License: `49116` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AMER RX INC (NPI #1063657690)