Mixtures Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3896 Issued in AZ

Legal business name

MIXTURES PHARMACY LLC

Practice address

16515 S 40TH St Ste 123
Phoenix, AZ 85048-0559

Phone

(480) 706-0620

Fax

(480) 706-0489

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Lori Allen, RPH

Title

Pharmacist Owner

Phone

(480) 706-0620

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Mixtures Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mixtures Pharmacy LLC

  • Community/Retail Pharmacy
  • Gilbert, AZ
  • NPI 1659703460
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Mixtures Pharmacy LLC

  • Community/Retail Pharmacy
  • Gilbert, AZ
  • NPI 1659703460
  NPPES parent name

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1295887552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16515 S 40TH ST STE 123",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480559",
            "telephone_number": "480-706-0620",
            "fax_number": "480-706-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16515 S 40TH ST STE 123",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480559",
            "telephone_number": "480-706-0620",
            "fax_number": "480-706-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIXTURES PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "480-706-0620",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "YO3896",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "3896",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "AZ",
            "license": "3986",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295887552",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sumeet K Mittal, MD
• Mittneen K Williams MD
• Katherine Ann Mitzel, DO
• Tamara Elizabeth Mitzel, APRN, FNP-C
• Michelle Mix, MD
• Audrey Miyagishima
• Chelsie A Miyao, AGACNP
• Heather Ann Miyashiro, PA-C
• Lyle K Miyashiro, PA-C
• Alex K. Mizan

• Community/Retail Pharmacy in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.