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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2159418 | 01 |
Other Name | Type Code |
---|---|
PharMix Rx, LLC | Doing Business As Name - Organization |
Street Address |
66 VILLAGE LOOP |
City | WETUMPKA |
State | AL |
Zip Code | 36093-1221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699295907 | Katrina G Owes | Home Health Aide | 4037 Us Hwy 231, Wetumpka, AL 36093 | 2017-06-27 |
1194057554 | Wetumpka Urgent Care LLC | Clinic/Center | 11 Cambridge Drive, Wetumpka, AL 36093 | 2010-02-09 |
1376879478 | Ivy Creek of Elmore LLC | Otolaryngology | 53 Cambridge Court, Wetumpka, AL 36093 | 2009-10-23 |
1790815249 | Wetumpka Family Dentistry PC | Clinic/Center | 4045 Hwy 231, Wetumpka, AL 36093 | 2007-03-06 |
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 |
1740566918 | Youth Enhancement Services LLC | Community/Behavioral Health | 4031 Us Highway 231, Wetumpka, AL 36093-1224 | 2011-11-01 |
Find all providers in zip 36093 |
Taxonomy Code | 3336C0004X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Compounding Pharmacy |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
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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 |
Find all providers with the same taxonomy |
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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.