Mix It Up Beverage Co LLC

Primary specialty

Meals ProviderTaxonomy code 174200000X

Legal business name

MIX IT UP BEVERAGE CO LLC

Practice address

850 NW Broad St
Murfreesboro, TN 37129-2740

Phone

(414) 512-1922

NPI assigned

Jul 20, 2026

Organization subpart

No

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

Authorized official

Name

Ms. Aniya Garvin

Title

Owner

Phone

(414) 578-9717

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1932029964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 ORWELL ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293568",
            "telephone_number": "414-578-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 NW BROAD ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292740",
            "telephone_number": "414-512-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIX IT UP BEVERAGE CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "GARVIN",
        "authorized_official_first_name": "ANIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-578-9717",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.