ELEMENTS COMPOUNDING PHARMACY LLC (NPI# 1194135103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194135103 |
| Entity Type | Organization |
| Organization Name | ELEMENTS COMPOUNDING PHARMACY LLC |
| Practice Address |
2110 E Baseline Rd Suite A5-6 Mesa AZ 85204-6970 |
| Practice Telephone | 4806254750 |
| Mailing Telephone | 4806254750 |
| Mailing Fax Number | 4806253054 |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-08-21 |
| Authorized Official Name | PETER PETROV (PRESIDENT) |
| Authorized Official Telephone | 4806254750 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Y005900 | AZ | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Y005900 | AZ | Suppliers |
| Street Address |
2110 E BASELINE RD SUITE A5-6 |
| City | MESA |
| State | AZ |
| Zip Code | 85204-6970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780742189 | Alejandro A. Mioni | Chiropractor | 2110 E Baseline Rd, Suite A 5-6, Mesa, AZ 85204-6970 | 2006-12-05 |
| 1659503381 | Arizona Chiropractic Group Mioni Dc Inc | Chiropractor | 2110 E Baseline Rd, Suite A 5-6, Mesa, AZ 85204-6970 | 2009-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669098257 | Nowrx Inc | Pharmacy | 2452 W Birchwood Ave Ste 106, Mesa, AZ 85202-1067 | 2020-06-19 |
| 1144797515 | Nugenerex Paz1 LLC | Pharmacy | 6641 E Baywood Ave Ste A1, Mesa, AZ 85206-1723 | 2018-10-24 |
| 1922547447 | Sun Pharmacy | Pharmacy | 4838 E Baseline Rd Ste 127, Mesa, AZ 85206-4673 | 2017-02-16 |
| 1164808648 | Fatima Pharmacy, LLC | Pharmacy | 66 S Dobson Rd Ste 104, Mesa, AZ 85202-1175 | 2015-08-06 |
| 1023350451 | Canaan Capital Management LLC | Pharmacy | 6641 E Baywood Ave Ste A-1, Mesa, AZ 85206 | 2013-03-24 |
| 1629296322 | Caresite Pharmacy of Arizona LLC | Pharmacy | 10238 E. Hampton Ave, Suite 107, Mesa, AZ 85208 | 2007-04-20 |
| 1629157557 | Walgreen Co | Pharmacy | 9230 E Main St, Mesa, AZ 85207-8803 | 2006-11-02 |
| 1649374539 | German Dobson Cvs, L.L.C. | Pharmacy | 9152 E Brown Rd, Mesa, AZ 85207-4339 | 2006-09-12 |
| 1386748275 | German Dobson Cvs, L.L.C. | Pharmacy | 360 N Val Vista Dr, Mesa, AZ 85213-8624 | 2006-09-12 |
| 1922102813 | German Dobson Cvs, L.L.C. | Pharmacy | 5954 E Mcdowell Rd, Mesa, AZ 85215-9607 | 2006-09-12 |
| Find all providers in MESA | ||||
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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.