MIXTURES PHARMACY LLC (NPI# 1659703460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659703460 |
| Entity Type | Organization |
| Organization Name | MIXTURES PHARMACY LLC |
| Other Organization Name | MIXTURES PHARMACY & COMPOUNDING CENTER GILBERT |
| Practice Address |
2730 S Val Vista Drive Building 1, Suite 102 Gilbert AZ 85295 |
| Mailing Address |
16515 S 40th Street Suite 123 Phoenix AZ 85048 |
| Practice Telephone | 4803005279 |
| Practice Fax Number | 4803005649 |
| Mailing Telephone | 4807060620 |
| Mailing Fax Number | 4807060489 |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2013-08-02 |
| Authorized Official Name | LORI LYNN ALLEN (PRESIDENT) |
| Authorized Official Telephone | 4802261946 |
| Authorized Official Credential | R.PH |
| Is Organization Subpart | Y |
| Parent Organization Name | MIXTURES PHARMACY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Y005671 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ARIZONA STATE BOARD OF PHARMACY | Y005671 | 01 |
| Other Name | Type Code |
|---|---|
| Mixtures Pharmacy & Compounding Center Gilbert | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295887552 | Mixtures Pharmacy LLC | Pharmacist | 16515 S 40th St Ste 123, Phoenix, AZ 85048-0559 | 2007-01-17 |
| Street Address |
2730 S VAL VISTA DRIVE BUILDING 1, SUITE 102 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471368 | Lifequest Holding Company Gilbert, LLC | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1255946075 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd. Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1407467962 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd, Suite 101, Gilbert, AZ 85295 | 2020-08-10 |
| 1275187718 | Guylene Lucien | Nurse Practitioner | 1689 S. Parkcrest Street, Gilbert, AZ 85295 | 2019-08-01 |
| 1326607144 | Hand Up Behavioral Services, LLC | Community/Behavioral Health | 4145 East Megan Street, Gilbert, AZ 85295 | 2019-06-06 |
| 1629582069 | Victoria Munoz Garcia | Naturopath | 920 S Williams Field Rd., Ste 102, Gilbert, AZ 85295 | 2017-11-21 |
| 1649798752 | Eureka Imperial Residence | Clinic/Center | 633 E Ray Road, Gilbert, AZ 85295 | 2017-09-08 |
| 1447791496 | Janine Patrice Faux | Counselor | 2563 S. Val Vista Drive St. 108, Gilbert, AZ 85295 | 2017-03-10 |
| 1437690450 | Erskine & Barber LLC | Clinic/Center | 5656 S. Power Rd #129, Gilbert, AZ 85295 | 2017-03-09 |
| 1164965448 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 774 E. Buffalo St, Chandler, AZ 85295 | 2016-11-18 |
| Find all providers in zip 85295 | ||||
| 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 |
|---|---|---|---|---|
| 1205831955 | Avella of Gilbert, Inc. | Pharmacy | 2450 E Guadalupe Rd, Ste 110, Gilbert, AZ 85234-5116 | 2005-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104424381 | North Valley Compounding Pharmacy | Pharmacy | 28325 N Tatum Blvd Ste 5, Cave Creek, AZ 85331-6344 | 2020-10-11 |
| 1932718756 | Covetrus Pharmacy Services, LLC | Pharmacy | 2401 W Grandview Rd, Phoenix, AZ 85023-3112 | 2020-07-28 |
| 1942822515 | Willamette Pharmacy LLC | Pharmacy | 10720 W Indian School Rd Ste 53, Phoenix, AZ 85037-5724 | 2020-05-17 |
| 1144858747 | Meta Pharmacy Solutions | Pharmacy | 8914 N 91st Ave Ste 100c, Peoria, AZ 85345-8390 | 2020-03-30 |
| 1043879984 | Synergis Health LLC | Pharmacy | 1017 S Gilbert Rd Ste 206, Mesa, AZ 85204-4444 | 2019-06-12 |
| 1750944278 | Az Mix | Pharmacy | 2501 West Behrend Drive A-11, Phoenix, AZ 85027-8502 | 2019-04-19 |
| 1558847954 | M2d Pharmacy, LLC | Pharmacy | 21321 E Ocotillo Rd # B104, Queen Creek, AZ 85142-5996 | 2018-07-18 |
| 1407386410 | Mixtures Pharmacy, LLC Scottsdale | Pharmacy | 6590 N Scottsdale Rd Ste 140, Scottsdale, AZ 85253-4482 | 2017-06-13 |
| 1770023574 | Nationwide Compounding Rx LLC | Pharmacy | 14000 N Hayden Rd Ste 185, Scottsdale, AZ 85260-5561 | 2017-02-28 |
| 1609251537 | Allergyrx | Pharmacy | 3960 E Palm St Bldg 5, Mesa, AZ 85215-1118 | 2015-07-21 |
| 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.