Mixtures Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

Y005671 Issued in AZ

Legal business name

MIXTURES PHARMACY LLC

Doing business as

Mixtures Pharmacy & Compounding Center Gilbert

Practice address

2730 S Val Vista Drive
Building 1, Suite 102
Gilbert, AZ 85295

Phone

(480) 300-5279

Fax

(480) 300-5649

NPI assigned

Aug 2, 2013

Last updated

Oct 23, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

MIXTURES PHARMACY LLCAs reported in NPPES

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

Authorized official

Name

Lori Lynn Allen, R.PHNPI 1922666213

Title

President

Phone

(480) 226-1946

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Mixtures Pharmacy & Compounding Center Gilbert Doing business as

Tax ID family

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

Part of

Mixtures Pharmacy LLC

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
  • Phoenix, AZ
  • NPI 1295887552
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mixtures Pharmacy LLC

  • Community/Retail Pharmacy
  • Phoenix, AZ
  • NPI 1295887552
  NPPES parent name

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.

• Lori Lynn Nelson Allen

  • Pharmacist
  • Phoenix, AZ
  • NPI 1922666213
  Authorized official Same address or phone

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1659703460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16515 S 40TH STREET",
            "address_2": "SUITE 123",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85048",
            "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": "2730 S VAL VISTA DRIVE",
            "address_2": "BUILDING 1, SUITE 102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85295",
            "telephone_number": "480-300-5279",
            "fax_number": "480-300-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIXTURES PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIXTURES PHARMACY LLC",
        "enumeration_date": "2013-08-02",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-226-1946",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y005671",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659703460",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA STATE BOARD OF PHARMACY",
            "identifier": "Y005671",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mixtures Pharmacy & Compounding Center Gilbert",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mixtures Pharmacy & Compounding Center Gilbert",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Haley Mlnarik, LAC
• Chinedu O Mmeje, MD

• Community/Retail Pharmacy in Gilbert, AZ
• Providers in Gilbert, 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.