PHARMIX RX LLC


Address: 66 Village Loop, Wetumpka, AL 36093-1221
Phone: 3344783522

PHARMIX RX LLC (NPI# 1154784403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154784403
Entity Type Organization
Organization Name PHARMIX RX LLC
Other Organization Name PHARMIX RX, LLC
Practice Address 66 Village Loop
Wetumpka
AL 36093-1221
Practice Telephone 3344783522
Practice Fax Number 3344783518
Mailing Telephone 3344783522
Mailing Fax Number 3344783518
Enumeration Date 2016-04-04
Last Update Date 2016-04-11
Authorized Official Name HOLLI ANTHONY (OWNER / PHARMACIST)
Authorized Official Telephone 3344783522
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0004X Pharmacy
Specialization: Compounding Pharmacy
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2159418 01

Other Provider/Organization Names

Other Name Type Code
PharMix Rx, LLC Doing Business As Name - Organization

Office Location

Street Address 66 VILLAGE LOOP
City WETUMPKA
State AL
Zip Code 36093-1221

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1962552448 Ronaldo V Dejesus Internal Medicine 41 Cambridge Court, Wetumpka, AL 36093 2007-01-10
1538249149 Bobby Joseph Luster Chiropractor 2412 Us Highway 231, Wetumpka, AL 36093-1209 2006-10-17
1942349626 David Clark Young Dentist 4045 Us Highway 231, Wetumpka, AL 36093-1217 2007-02-06
1700307113 Sabrina Jackson Home Health Aide 4037 Us Highway 231 Ste B, Wetumpka, AL 36093-1224 2017-07-06
1427326834 Clarence Dequan Merckerson Counselor 4035 Us Highway 231 Ste F, Wetumpka, AL 36093-1224 2011-12-13
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Taxonomy Information

Taxonomy Code 3336C0004X
Grouping Suppliers
Classification Pharmacy
Specialization Compounding Pharmacy

Taxonomy Definition

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164966859 Whitaker Drugs LLC Pharmacy 20 Camden Byp, Camden, AL 36726-1770 2016-12-14
1447617642 R & R Wholesale Distributors Inc Pharmacy 237 Oxmoor Cir Ste 109, Birmingham, AL 35209-6436 2016-01-20
1417348533 Massey Drugs Inc Pharmacy 218 E 5th St Ste 1, Tuscumbia, AL 35674-2520 2015-02-11
1598019804 Precision Rx LLC Pharmacy 3325 Rocky Ridge Plz, Suite 207, Vestavia, AL 35243-4411 2012-11-08
1144578261 Cloverland Drugs, Inc Pharmacy 1716 Taliaferro Trl, Montgomery, AL 36117-7759 2012-08-21
1861753865 Total Care Solutions Inc Pharmacy 26450 Pollard Rd, Daphne, AL 36526-4273 2012-06-06
1154693737 Double Oak Mountain Pharmacy LLC Pharmacy 5510 Highway 280 Ste 123, Birmingham, AL 35242-6582 2012-01-30
1689954935 Brindleys Family Pharmacy Pharmacy 305 N Carlisle St, Albertville, AL 35950-1731 2011-08-18
1578857108 Gentry Pharmacy LLC Pharmacy 4700 Cahaba River Rd Ste B, Vestavia, AL 35243-2325 2011-05-31
1245529494 C & R Pharmacy Pharmacy 4682 Airport Blvd Ste A, Mobile, AL 36608-3124 2011-03-28
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Competitor

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City WETUMPKA
Zip Code 36093

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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