Organization Active NPI

Heliosrx LLC

  • Compounding Pharmacy
  • Tempe, AZ
National Provider Identifier
1861327066
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
HELIOSRX LLC
Practice address
1711 W University Dr Ste 159
Tempe, AZ 85281-3251
Phone
(480) 219-5974
Fax
(480) 272-9649
NPI assigned
Jun 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Mr. Sky Countryman
Title
Ceo
Phone
(310) 621-2564

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

1711 W University Dr Ste 159
Tempe, AZ 85281-3251

Mailing address

1711 W University Dr Ste 159
Tempe, AZ 85281-3251
Phone (480) 219-5974

National Provider Directory

National Provider Directory

Locations

1711 W University Dr
Ste 159
Tempe, AZ 85281

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": "1781654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1861327066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 W UNIVERSITY DR STE 159",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852813251",
            "telephone_number": "480-219-5974",
            "fax_number": "480-272-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W UNIVERSITY DR STE 159",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852813251",
            "telephone_number": "480-219-5974",
            "fax_number": "480-272-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELIOSRX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "COUNTRYMAN",
        "authorized_official_first_name": "SKY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-621-2564",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.