VERTISIS CUSTOM PHARMACY (NPI# 1588014880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588014880 |
| Entity Type | Organization |
| Organization Name | VERTISIS CUSTOM PHARMACY |
| Other Organization Name | VERTISIS CUSTOM PHARMACY |
| Practice Address |
9343 E Bahia Dr Second Floor Scottsdale AZ 85260-1559 |
| Practice Telephone | 8882855841 |
| Practice Fax Number | 4806254276 |
| Mailing Telephone | 8882855841 |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2017-02-23 |
| Authorized Official Name | BRIAN HARRISON (PHARMACY MANAGER) |
| Authorized Official Telephone | 8882855841 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Y007042 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2162287 | 01 |
| Other Name | Type Code |
|---|---|
| Vertisis Custom Pharmacy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | VERTISIS CUSTOM PHARMACY LLC | 9343 East Bahia Drive, Scottsdale, AZ 85260 |
| Iowa Business Entities | VERTISIS CUSTOM PHARMACY LLC | 9343 East Bahia Drive, Scottsdale, AZ 85260 |
| Washington State Corporations | VERTISIS CUSTOM PHARMACY LLC | 9343 E Bahia Dr # 200, Scottsdale, AZ 85260-1559 |
| Colorado Business Entities | Vertisis Custom Pharmacy LLC | 9343 E Bahia Dr, Ste# 202, Scottsdale, AZ 85260 |
| Street Address |
9343 E BAHIA DR SECOND FLOOR |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85260-1559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153377 | Karen Lee Williams | Counselor | 7655 Eest Redfield Rd, Suite 4, Scottsdale, AZ 85260 | 2020-10-29 |
| 1477188001 | Dr. Lynne Remson, Stuttering Specialist, LLC | Clinic/Center | 7950 E. Acoma Dr., Ste 201, Scottsdale, AZ 85260 | 2020-03-04 |
| 1861049967 | Aca Wellness Institute | Registered Nurse | 10752 N. 89th Pl, 8, Ste 203, Scottsdale, AZ 85260 | 2019-08-22 |
| 1811542814 | Haven Home Physicians LLC | Internal Medicine | 15551 N Greenway-hayden Loop, Suite 155, Scottsdale, AZ 85260 | 2019-08-06 |
| 1700431079 | Corey Allen Niles | Physical Therapist | 16413 N 91st Street #c145, Scottsdale, AZ 85260 | 2019-08-05 |
| 1578126470 | Scottsdale Pediatric Dental Associates Inc | Dentist | 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 | 2019-04-16 |
| 1548747645 | Oliver Canizales Renteria | Behavior Technician | 8310 East Cactus Road, Suite # 510, Scottsdale, AZ 85260 | 2018-07-23 |
| 1518454792 | Silent Night Sleep Center Lllp | Durable Medical Equipment & Medical Supplies | 9070 E Desert Cove Ave Ste 105, Scottsdale, AZ 85260 | 2018-04-13 |
| 1669976726 | Steincare Mobile Outpatient, LLC | Occupational Therapist | 9555 E. Raintree Drive, #2057, Scottsdale, AZ 85260 | 2018-03-22 |
| 1437658416 | Megan Anne Deffenbaugh | Behavior Technician | 8130 E Cactus Rd Suite 150, Scottsdale, AZ 85260 | 2018-02-06 |
| Find all providers in zip 85260 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1447598727 | Alpha Direct Compounding | Pharmacy | 8240 E Gelding Dr, Suite 115, Scottsdale, AZ 85260-3651 | 2013-01-22 |
| 1376548016 | Avella of Grayhawk, Inc. | Pharmacy | 7336 E Deer Valley Rd, Ste 100, Scottsdale, AZ 85255-7455 | 2005-06-17 |
| 1568802254 | Mix Compounding, LLC | Pharmacy | 7110 E Mcdonald Dr, Suite C-1, Scottsdale, AZ 85253-5426 | 2013-06-27 |
| 1821093568 | Avella of Scottsdale, Inc. | Pharmacy | 9777 N 91st St, Ste 102, Scottsdale, AZ 85258-5087 | 2005-06-17 |
| 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 |
| 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 |
| 1659703460 | Mixtures Pharmacy LLC | Pharmacy | 2730 S Val Vista Drive, Building 1, Suite 102, Gilbert, AZ 85295 | 2013-08-02 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSDALE |
| Zip Code | 85260 |
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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.