Pharmix RX LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

PHARMIX RX LLC

Practice address

66 Village Loop
Wetumpka, AL 36093-1221

Phone

(334) 478-3522

Fax

(334) 478-3518

NPI assigned

Apr 4, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Holli Anthony

Title

Owner / Pharmacist

Phone

(334) 478-3522

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PharMix Rx, LLC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1154784403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 VILLAGE LOOP",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360931221",
            "telephone_number": "334-478-3522",
            "fax_number": "334-478-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 VILLAGE LOOP",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360931221",
            "telephone_number": "334-478-3522",
            "fax_number": "334-478-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMIX RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "HOLLI",
        "authorized_official_title_or_position": "OWNER / PHARMACIST",
        "authorized_official_telephone_number": "334-478-3522"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159418",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharMix Rx, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haley Brooke Pemberton, CRNP
• Betty Jo Penton, L.P.C.
• Perfect Pain Solutions, L.L.C.
• Meagan Louise Petrunic
• Van Pham, RPH
• Phoenix Path Counseling, LLC
• PHP of Alabama
• PHP of Alabama, Inc.
• Physicians Choice Dialysis of Alabama LLC
• Tisha Powell, RN, IBCLC

• Compounding Pharmacy in Wetumpka, AL
• Providers in Wetumpka, AL by specialty
• Compounding Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.