Vertisis Custom Pharmacy

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

Y007042 Issued in AZ

Legal business name

VERTISIS CUSTOM PHARMACY

Doing business as

Vertisis Custom Pharmacy

Practice address

9343 E Bahia Dr
Second Floor
Scottsdale, AZ 85260-1559

Phone

(888) 285-5841

Fax

(480) 625-4276

NPI assigned

Jun 16, 2016

Last updated

Feb 23, 2017By 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

Brian Harrison

Title

Pharmacy Manager

Phone

(888) 285-5841

Specialties & licenses 2

Addresses

Other names 1

• Vertisis Custom Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1588014880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9343 E BAHIA DR",
            "address_2": "SECOND FLOOR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601559",
            "telephone_number": "888-285-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9343 E BAHIA DR",
            "address_2": "SECOND FLOOR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601559",
            "telephone_number": "888-285-5841",
            "fax_number": "480-625-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERTISIS CUSTOM PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "888-285-5841"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "AZ",
            "license": "Y007042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vertisis Custom Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veritas Laboratory
• Nishant Verma, M.D.
• Tina Vermeulen, M.S.
• Jill Vertes, MA, CCC-SLP
• Vertex Physical Therapy Corp
• David A Vertullo, MD
• Denis Verville, CNIM
• Stephanie Nicole Vesa, PHARMD
• Teresa Vesco, N.M.D.
• Jennifer Vesic

• 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 Feb 23, 2017; 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.