Evexia RX, LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

263991 Issued in MN

Legal business name

EVEXIA RX, LLC

Practice address

5206 W 84TH St
Bloomington, MN 55437-1308

Phone

(952) 444-2857

Fax

(952) 426-1464

NPI assigned

Feb 13, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Stephani Martinsen, PHARM D

Title

Pharmacist in Charge

Phone

(952) 444-2857

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1730428582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5206 W 84TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554371308",
            "telephone_number": "952-444-2857",
            "fax_number": "952-426-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5206 W 84TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554371308",
            "telephone_number": "952-444-2857",
            "fax_number": "952-426-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEXIA RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-13",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "MARTINSEN",
        "authorized_official_first_name": "STEPHANI",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "952-444-2857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MN",
            "license": "263991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Compounding Pharmacy in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Compounding Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.