Organization Active NPI

Wellness Pharmacy Inc.

  • Compounding Pharmacy
  • Fountain Hills, AZ
National Provider Identifier
1841038387
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
WELLNESS PHARMACY INC.
Practice address
16810 E El Pueblo Blvd
Fountain Hills, AZ 85268-2533
Phone
(480) 999-9100
Fax
(480) 999-9200
NPI assigned
Jul 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Dr. Maryam Alizadeh-Miab, PHARMDNPI 1558017020
Title
Pharmacist Manager/Owner
Phone
(480) 999-9100

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

16810 E El Pueblo Blvd
Fountain Hills, AZ 85268-2533

Mailing address

16810 E El Pueblo Blvd
Fountain Hills, AZ 85268-2533
Phone (480) 999-9100

National Provider Directory

National Provider Directory

Locations

16810 E El Pueblo Blvd
Fountain Hills, AZ 85268
Phone (480) 999-9100

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": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1841038387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16810 E EL PUEBLO BLVD",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852682533",
            "telephone_number": "480-999-9100",
            "fax_number": "480-999-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16810 E EL PUEBLO BLVD",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852682533",
            "telephone_number": "480-999-9100",
            "fax_number": "480-999-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "ALIZADEH-MIAB",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "PHARMACIST MANAGER/OWNER",
        "authorized_official_telephone_number": "480-999-9100",
        "authorized_official_name_prefix": "Dr.",
        "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 Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.