AZ MIX (NPI# 1750944278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750944278 |
| Entity Type | Organization |
| Organization Name | AZ MIX |
| Practice Address |
2501 West Behrend Drive A-11 Phoenix AZ 85027-8502 |
| Mailing Address |
2501 W Behrend Dr # A-11 Phoenix AZ 85027-4146 |
| Practice Telephone | 6029756241 |
| Practice Fax Number | 6029756247 |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2019-04-19 |
| Authorized Official Name | MRS. PAULA M BEOUGHER (OWNER) |
| Authorized Official Telephone | 4806502235 |
| 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 |
2501 WEST BEHREND DRIVE A-11 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85027-8502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306312 | Ashley Nicole Felipe | Registered Nurse | 25700 N 21st Ave, Phoenix, AZ 85027 | 2020-08-10 |
| 1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
| 1790284776 | Lydia Kuuipo Chong | Nurse Practitioner | 20414 N 27th Ave #300, Phoenix, AZ 85027 | 2018-02-06 |
| 1457867004 | Kristi Marie Mathews | Nurse Practitioner | 19829 N 29th Avenue, Phoenix, AZ 85027 | 2017-12-19 |
| 1710348362 | The Empower House, LLC | Community Based Residential Treatment Facility, Mental Illness | 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 | 2016-03-10 |
| 1972979656 | Dr Daniel H Yohannes D.d.s., PC | Dentist | 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 | 2015-08-17 |
| 1013346857 | Dentistry At 35th Avenu | Dentist | 18635 N 35th Avenue, Phoenix, AZ 85027 | 2013-11-02 |
| 1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
| 1588900021 | Jill Elizabeth Maroscia | Social Worker | 19636 N 27th Ave #106, Phoenix, AZ 85027 | 2013-01-02 |
| 1124394515 | Sfjg Holdings LLC | Dentist | 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 | 2012-03-29 |
| Find all providers in zip 85027 | ||||
| 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 |
| 1487951828 | Acorn Usa Inc | Pharmacy | 1300 N 12th St Ste 406, Phoenix, AZ 85006-2848 | 2011-02-22 |
| 1568655207 | S&g Pharmacy Inc | Pharmacy | 1111 E Northern Ave Ste A, Phoenix, AZ 85020-4188 | 2007-08-27 |
| 1073628095 | Melrose Pharmacy LLC | Pharmacy | 706 W Montecito Ave, Phoenix, AZ 85013-2814 | 2006-08-20 |
| 1003806050 | Apothecary Shop of Phoenix, Inc | Pharmacy | 1701 E Thomas Rd Ste 203, Phoenix, AZ 85016-7674 | 2005-10-21 |
| 1952775298 | Dignity Health | Pharmacy | 625 N 6th St, Phoenix, AZ 85004-2155 | 2015-11-24 |
| 1881076842 | Sunwest Group Inc. | Pharmacy | 1300 N 12th St, Suite 406, Phoenix, AZ 85006-2848 | 2015-06-25 |
| 1841586773 | Phoenix Children's Hospital | Pharmacy | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2011-06-20 |
| 1861782856 | Customceutical Compounding, LLC | Pharmacy | 4611 E Shea Blvd, Bldg 3, Ste 180, Phoenix, AZ 85028 | 2011-04-12 |
| Find all providers in PHOENIX | ||||
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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.