AVE MARIA PHARMACY P.L.L.C. (NPI# 1073709119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073709119 |
| Entity Type | Organization |
| Organization Name | AVE MARIA PHARMACY P.L.L.C. |
| Other Organization Name | AVE MARIA PHARMACY PLLC |
| Practice Address |
1945 Commerce Center Cir Ste C Prescott AZ 86301-7411 |
| Practice Telephone | 9287728674 |
| Practice Fax Number | 9287728413 |
| Mailing Telephone | 9287728674 |
| Mailing Fax Number | 9287728413 |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2017-04-28 |
| Authorized Official Name | PATRICK MCNERNEY (OWNER) |
| Authorized Official Telephone | 9287728674 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Y004887 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1992604 | 01 |
| Other Name | Type Code |
|---|---|
| AVE MARIA PHARMACY PLLC | Doing Business As Name - Organization |
| Street Address |
1945 COMMERCE CENTER CIR STE C |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-7411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| 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 |
|---|---|---|---|---|
| 1578806394 | Big Park Pharmacy LLC | Pharmacy | 1000 Ainsworth Drive, Suite B-105, Prescott, AZ 86305 | 2013-03-29 |
| 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.