MIX PHARMACY, LLC (NPI# 1346383601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346383601 |
| Entity Type | Organization |
| Organization Name | MIX PHARMACY, LLC |
| Practice Address |
1266 Helmo Ave N Oakdale MN 55128 |
| Practice Telephone | 6516459715 |
| Practice Fax Number | 6519258659 |
| Mailing Telephone | 6516459715 |
| Mailing Fax Number | 6519258959 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2018-07-05 |
| Authorized Official Name | ALANNA HUMPHREY (OWNER) |
| Authorized Official Telephone | 6122758910 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
265034 | MN | Suppliers |
| Street Address |
1266 HELMO AVE N |
| City | OAKDALE |
| State | MN |
| Zip Code | 55128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578174181 | James Albert Nguyen | Pharmacist | 985 Geneva Ave, Oakdale, MN 55128 | 2020-08-17 |
| 1154895977 | Northstar Behavioral Health | Substance Abuse Rehabilitation Facility | 5713 Geneva Ave N, Oakdale, MN 55128 | 2019-01-15 |
| 1780131391 | Beth Reitzel | Social Worker | 7066 Stillwater Boulevard North, Oakdale, MN 55128 | 2016-09-01 |
| 1740645407 | Caring Hand LLC | Non-emergency Medical Transport (VAN) | 6703 13th St. Ct N Oakdale, Oakdale, MN 55128 | 2015-12-23 |
| 1689040453 | Hy Vee Inc | Pharmacy | 7180 10th Street N, Oakdale, MN 55128 | 2015-08-17 |
| 1902169550 | Susan Kay Milner | Pharmacist | 300 Clydesdale Trail, Target 2223, Medina, MN 55128 | 2012-06-19 |
| 1144581125 | Christine Vanjaeckel | Specialist | 434 Hayward Ave N, Oakdale, MN 55128 | 2012-06-06 |
| 1811122757 | Amy Ha Truong | Dentist | 6230 10th St N Ste 520, Oakdale, MN 55128 | 2009-05-21 |
| 1538329263 | Victoria Louise Brown-nyseth | Psychiatry & Neurology | 7755 3rd St N Ste 300, Oakdale, MN 55128 | 2008-06-16 |
| 1639292147 | Robert C. Dinga | Optometrist | 8344 3rd Street North, Oakdale, MN 55128 | 2007-04-09 |
| Find all providers in zip 55128 | ||||
| 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 |
|---|---|---|---|---|
| 1841201480 | Oakdale Drug Co Inc | Pharmacy | 149 Hospital Dr, Oakdale, LA 71463-3034 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639622947 | Our Family Pharmacy LLC | Pharmacy | 601 University Ave W, Saint Paul, MN 55103-1940 | 2016-08-03 |
| 1669837530 | Legacy Apothecary | Pharmacy | 430 W Highway 5, Waconia, MN 55387-1723 | 2015-12-21 |
| 1407261365 | Lund Food Holdings Inc | Pharmacy | 970 Prairie Center Dr, Eden Prairie, MN 55344-7304 | 2014-06-30 |
| 1033521273 | Weber & Judd Co | Pharmacy | 18 9th St Se, Rochester, MN 55904-6423 | 2014-05-22 |
| 1609029297 | Oxybora Distributing, LLC | Pharmacy | 4335 Excelsior Blvd, St Louis Park, MN 55416-4811 | 2008-10-28 |
| 1811145436 | Blairco, Inc. | Pharmacy | 120 N Augusta Ct Ste 103, Mankato, MN 56001-7720 | 2008-09-08 |
| 1528222940 | Ccs Pharmacy | Pharmacy | 4203 Webber Pkwy, Minneapolis, MN 55412-1747 | 2008-07-15 |
| 1508052424 | Integratiavecare Vadnais Heights LLC | Pharmacy | 5 East County Road B, Suite #2, Little Canada, MN 55117 | 2007-09-25 |
| 1902940604 | Midwest Medical Holdings LLC | Pharmacy | 8400 Coral Sea St Ne Ste 100, Saint Paul, MN 55112-4395 | 2007-02-16 |
| 1275682007 | Lakes Area Pharmacy | Pharmacy | 30503 State Hwy 371, Pequot Lakes, MN 56472-2913 | 2007-01-10 |
| 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.