Mortar and Pestle Compounding Pharmacy

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

Y007398 Issued in AZ

Legal business name

MORTAR AND PESTLE COMPOUNDING PHARMACY

Practice address

1928 N 2ND St
Flagstaff, AZ 86004-4207

Phone

(928) 526-2446

NPI assigned

Oct 30, 2017

Last updated

Sep 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelsey Epstein, PHARMD

Title

Pharmacist

Phone

(928) 526-2446

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1285146316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 N 2ND ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860044207",
            "telephone_number": "928-526-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 N 2ND ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860044207",
            "telephone_number": "928-526-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTAR AND PESTLE COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "EPSTEIN",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "928-526-2446",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "AZ",
            "license": "Y007398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Bolar Morrison, M.S. CCC-SLP
• Brent Gregory Morrow, DPT
• Cori Morse, NNP-BC
• Jill Venna Morse
• Mortar and Pestle (Mortar & Pestle)
• Bruce A Mortensen, PA
• Michael Mortensen, DO
• Moseng Chiropractic, P.C.
• Nathan Alan Moss, AGACNP-BC
• John Michael Motl, M.D.

• Compounding Pharmacy in Flagstaff, AZ
• Providers in Flagstaff, 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 19, 2024; 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.