Healthcare Provider Details

I. General information

NPI: 1760575195
Provider Name (Legal Business Name): NEWPORT HILL PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2006
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 AVOCADO AVE STE 101
NEWPORT BEACH CA
92660-7702
US

IV. Provider business mailing address

1441 AVOCADO AVENUE SUITE 101
NEWPORT BEACH CA
92660-7702
US

V. Phone/Fax

Practice location:
  • Phone: 949-640-6564
  • Fax: 949-640-7437
Mailing address:
  • Phone: 949-640-6564
  • Fax: 949-640-7437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY41432
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MS. NILOFAUR KHORSHID
Title or Position: CEO/OWNER
Credential:
Phone: 858-342-2744