Visionmedmd LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

VISIONMEDMD LLC

Practice address

9830 S 51St St Ste B113
Phoenix, AZ 85044-5696

Phone

(480) 590-0281

Fax

(480) 572-1083

NPI assigned

Jan 18, 2022

Organization subpart

No

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

Authorized official

Name

Mohamed ElmubarakNPI 1871243477

Title

Authorized Official

Phone

(480) 415-9196

Specialties & licenses 1

Addresses

Other names 1

• Vision Med LTC and Compounding Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 3

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

• Mohamed Elmubarak, RPH

  • Pharmacist
  • Phoenix, AZ
  • NPI 1871243477
  NPD Authorized official
• Duaa Elamin, RPH

  • Pharmacist
  • Lake Havasu City, AZ
  • NPI 1659987188
  NPD
• Dalia Elkabli

  • Pharmacist
  • Gilbert, AZ
  • NPI 1417369547
  NPD

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1801548169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9830 S 51ST ST STE B113",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445696",
            "telephone_number": "480-590-0281",
            "fax_number": "480-572-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9830 S 51ST ST STE B113",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445696",
            "telephone_number": "480-590-0281",
            "fax_number": "480-572-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONMEDMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "ELMUBARAK",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "480-415-9196"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Med LTC and Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vision Group Home
• Vision Group Home
• Vision Independence Services of Arizona, LLC
• Vision Institute of Arizona PLLC
• Visiongate Biosignature Labratories, LLC
• Visions of Hope Arizona Inc
• Visions of Hope Arizona, Inc.
• Visionworks Inc
• Visionworks Inc
• Visionworks Inc

• Long Term Care Pharmacy in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Long Term Care Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.