NPIMap

Organization Active NPI

Az Mix

  • Compounding Pharmacy
  • Phoenix, AZ
National Provider Identifier
1750944278
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
AZ MIX
Practice address
2501 West Behrend Drive a-11
Phoenix, AZ 85027-8502
Phone
(602) 975-6241
Fax
(602) 975-6247
NPI assigned
Apr 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Authorized official

Name
Mrs. Paula M Beougher, PHARMDNPI 1457687063
Title
Owner
Phone
(480) 650-2235

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

2501 West Behrend Drive a-11
Phoenix, AZ 85027-8502

Mailing address

2501 W Behrend Dr # a-11
Phoenix, AZ 85027-4146

National Provider Directory

National Provider Directory

Locations

2501 W Behrend Dr
#A11
Phoenix, AZ 85027
Phone (602) 975-6241

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555632000000",
    "number": "1750944278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W BEHREND DR # A-11",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 WEST BEHREND DRIVE A-11",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850278502",
            "telephone_number": "602-975-6241",
            "fax_number": "602-975-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ MIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-04-19",
        "status": "A",
        "authorized_official_last_name": "BEOUGHER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-650-2235",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.