Medisol Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MEDISOL PHARMACY LLC

Doing business as

MediSol Pharmacy

Practice address

6666 W Peoria Ave Ste 101
Glendale, AZ 85302-7015

Phone

(646) 841-3781

NPI assigned

Mar 11, 2024

Organization subpart

No

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

Authorized official

Name

Stanislav Anatolyevich Sazonov, PHARMDNPI 1427656677

Title

Pharmacist/Owner

Phone

(646) 841-3781

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• MediSol Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Stanislav Anatolyevich Sazonov, PHARMD

  • Pharmacist
  • Goodyear, AZ
  • NPI 1427656677
  NPD Authorized official

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1659139038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6666 W PEORIA AVE STE 101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853027015",
            "telephone_number": "646-841-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6666 W PEORIA AVE STE 101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853027015",
            "telephone_number": "646-841-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDISOL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "SAZONOV",
        "authorized_official_first_name": "STANISLAV",
        "authorized_official_middle_name": "ANATOLYEVICH",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "646-841-3781",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176106",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MediSol Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MediSol Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medical Neurology LTD
• Medico
• Keith Allen Medina, RN
• Maria Del Carmen Medina, RN
• Samantha Louise Medina, DO
• Alexa Medrano
• Dylan Thomas Meehan
• Kelly Chylece Meehan, O.D.
• Trae Megaffin, OD
• John J Mehlem, DMD

• Community/Retail Pharmacy in Glendale, AZ
• Providers in Glendale, 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 Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.