NORTH VALLEY COMPOUNDING PHARMACY (NPI# 1104424381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104424381 |
| Entity Type | Organization |
| Organization Name | NORTH VALLEY COMPOUNDING PHARMACY |
| Practice Address |
28325 N Tatum Blvd Ste 5 Cave Creek AZ 85331-6344 |
| Mailing Address |
29633 N 45th St Cave Creek AZ 85331-6272 |
| Practice Telephone | 5035155549 |
| Mailing Telephone | 5035155549 |
| Enumeration Date | 2020-10-11 |
| Last Update Date | 2020-10-11 |
| Authorized Official Name | HIEN THE NGUYEN (OWNER/PHARMACIST) |
| Authorized Official Telephone | 5035155549 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers |
| Street Address |
28325 N TATUM BLVD STE 5 |
| City | CAVE CREEK |
| State | AZ |
| Zip Code | 85331-6344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992310809 | Fernisha Kaysteine Brown | Registered Nurse | 5227 E. Carefree Hwy, Cave Creek, AZ 85331 | 2020-09-09 |
| 1558996538 | Arizona Dental Professionals, P.C. | Dentist | 5355 E Carefree Hwy Ste 102, Carefree, AZ 85331 | 2020-03-10 |
| 1649738352 | Teresa Michelle Colao | Specialist/Technologist | 5250 E Montgomery Road, Cave Creek, AZ 85331 | 2019-03-12 |
| 1154839546 | Ring Chiropractic, Ltd | Chiropractor | 7208 East Cave Creek Road, Ste. F, Carefree, AZ 85331 | 2018-01-19 |
| 1568900215 | Johnathan James Kuntz | Pharmacist | 5400 E. Carefree Highway, Cave Creek, AZ 85331 | 2017-02-02 |
| 1922558576 | Christi Porter | Speech-Language Pathologist | 5228 E Barwick Dr, Cave Creek, AZ 85331 | 2016-10-06 |
| 1720483423 | Cave Creek Dentistry, LLP | Dentist | 34317 N Cave Creek Road, Suite 103, Cave Creek, AZ 85331 | 2014-10-24 |
| 1417351479 | David Joseph Morris | Pharmacist | 28138 North Tatum Blvd, Cavecreek, AZ 85331 | 2014-10-20 |
| 1871845511 | Barbara S. Woodlief | Physical Therapy Assistant | 197 South Willard, Cottonwood, AZ 85331 | 2012-10-04 |
| 1811267560 | Negin Nickie Mohebbi | Pharmacist | 5400 E. Carefree Hwy, Cave Creek, AZ 85331 | 2012-01-11 |
| Find all providers in zip 85331 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1821471053 | Key Health Pharmacy LLC | Pharmacy | 560 N Estrella Pkwy, Suite B9, Goodyear, AZ 85338-9315 | 2015-07-07 |
| Find all providers with the same taxonomy | ||||
| City | CAVE CREEK |
| Zip Code | 85331 |
Please comment or provide details below to improve the information on NORTH VALLEY COMPOUNDING PHARMACY.
| 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.