Epiphany Compounding

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

EPIPHANY COMPOUNDING

Practice address

10575 N 114TH St Ste 113
Scottsdale, AZ 85259-4908

Phone

(602) 767-1221

Fax

(480) 781-0016

NPI assigned

Sep 24, 2021

Organization subpart

No

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

Authorized official

Name

Ashish Patel

Title

Pharmacist/Managing Partner

Phone

(908) 565-2193

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1174294516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10575 N 114TH ST STE 113",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852594908",
            "telephone_number": "602-767-1221",
            "fax_number": "480-781-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10575 N 114TH ST STE 113",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852594908",
            "telephone_number": "602-767-1221",
            "fax_number": "480-781-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIPHANY COMPOUNDING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ASHISH",
        "authorized_official_title_or_position": "PHARMACIST/MANAGING PARTNER",
        "authorized_official_telephone_number": "908-565-2193"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rph@epiphanyaz.com",
            "affiliation": "N",
            "endpointDescription": "hipaa compliant email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure email",
            "address_1": "10575 N 114th St Ste 113",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852594908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Entrust Hospice, LLC
• Envita Family Medicine LLC
• Envita Insights, LLC
• Envita Medical Centers
• Epic Surgery Center LLC
• Mallory Epstein
• Lori Long Epting, M.C., L.P.C.
• Equilibrium Mental Health, PLLC
• ER Plastics LLC
• Claire Erbe, CRNA

• Compounding Pharmacy in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Compounding Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.