Mortar and Pestle

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

Y005140 Issued in AZ

Legal business name

MORTAR AND PESTLE

Doing business as

Mortar & Pestle

Practice address

2708 N 4TH St Ste C-2
Flagstaff, AZ 86004-1829

Phone

(928) 526-2446

Fax

(928) 526-2245

NPI assigned

Jul 17, 2009

Last updated

Oct 14, 2010By 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

Lauren DriebeNPI 1639440217

Title

Pharmacist in Charge/Owner

Phone

(928) 526-2446

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mortar & Pestle Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauren Driebe, RPH

  • Pharmacist
  • Flagstaff, AZ
  • NPI 1639440217
  NPD (past) Authorized official

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1427288950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 N 4TH ST STE C-2",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041829",
            "telephone_number": "928-526-2446",
            "fax_number": "928-526-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 N 4TH ST STE C-2",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041829",
            "telephone_number": "928-526-2446",
            "fax_number": "928-526-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTAR AND PESTLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "DRIEBE",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE/OWNER",
        "authorized_official_telephone_number": "928-526-2446"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "AZ",
            "license": "Y005140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0356279",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mortar & Pestle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana Michelle Morrison, RDH
• Elizabeth Bolar Morrison, M.S. CCC-SLP
• Brent Gregory Morrow, DPT
• Cori Morse, NNP-BC
• Jill Venna Morse
• Mortar and Pestle Compounding Pharmacy
• Bruce A Mortensen, PA
• Michael Mortensen, DO
• Moseng Chiropractic, P.C.
• Nathan Alan Moss, AGACNP-BC

• 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 Oct 14, 2010; 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.