Mixmyrx Ventures LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

MIXMYRX VENTURES LLC

Doing business as

Mixmyrx

Practice address

8696 Vineland Ave
Orlando, FL 32821-6400

Phone

(407) 361-3049

NPI assigned

Apr 18, 2022

Organization subpart

No

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

Authorized official

Name

Tuan Tran

Title

Owner/ Pharmacist

Phone

(407) 361-3049

Specialties & licenses 3

Addresses

Other names 1

• Mixmyrx Doing business as

Locations

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1174266183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8696 VINELAND AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328216400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8696 VINELAND AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328216400",
            "telephone_number": "407-361-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIXMYRX VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TUAN",
        "authorized_official_title_or_position": "OWNER/ PHARMACIST",
        "authorized_official_telephone_number": "407-361-3049"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mixmyrx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rajorshi Mitra, M.D.
• Stefano Themio Mitsakis
• Melanie Mitta, M.D
• Jessica Mittag
• Kamilah Nicole Mix, APRN
• Aimee Dolorfino Miyabayashi
• Austin Avery Miyamoto
• Charles Kenji Miyamoto, PA-C
• Rashid Mizell Jr.
• William Mizell

• Compounding Pharmacy in Orlando, FL
• Providers in Orlando, FL by specialty
• Compounding Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.