Organization Active NPI

Produce Pharmacy LLC

  • Compounding Pharmacy
  • Mesa, AZ
National Provider Identifier
1487532693
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
PRODUCE PHARMACY LLC
Practice address
6828 E Brown Rd Ste 101
Mesa, AZ 85207-3761
Phone
(480) 218-2236
NPI assigned
Aug 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Brett Bannister
Title
Manager
Phone
(480) 218-2236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

6828 E Brown Rd Ste 101
Mesa, AZ 85207-3761

Mailing address

6828 E Brown Rd Ste 101
Mesa, AZ 85207-3761
Phone (480) 218-2236

Other names 1

  • Esatto Red Mountain Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Esatto Litchfield3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1487532693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6828 E BROWN RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073761",
            "telephone_number": "480-218-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6828 E BROWN RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073761",
            "telephone_number": "480-218-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODUCE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "BANNISTER",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-218-2236"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Esatto Red Mountain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.