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COMMUNITY CLINICAL PHARMACY
NPI 1194736777
Pharmacy - Compounding Pharmacy in Mesa, AZ

Active since August 10, 2006
2045 S VINEYARD STE 133, MESA, AZ 85210(480) 969-0600(480) 969-0712 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 10, 2022, Oct 21, 2020, Feb 28, 2017 (3 updates tracked since 2017).

About Community Clinical Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY CLINICAL PHARMACY (NPI 1194736777) is a healthcare organization registered as a compounding pharmacy in Mesa, Arizona and active in the NPI registry since August 2006. The organization lists Kristian Kaniski, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1194736777
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameAPOTEKA COMPOUNDING LLC
Location Address2045 S VINEYARD STE 133Mesa, AZ 85210-6893
Mailing Address2045 S Vineyard Ste 133Mesa, AZ 85210-6893 · (480) 969-0600 · Fax (480) 969-0712
Phone(480) 969-0600
Fax(480) 969-0712
Organization SubpartNo
Authorized OfficialKristian KaniskiManaging Member · (480) 969-0600
Enumeration DateAugust 10, 2006
Last NPPES UpdateFebruary 10, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2022
✔ NPI 1194736777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
License✔ Licensed in AZ · Y03824
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
Also ListedPharmacy · Mail Order PharmacyTaxonomy 3336M0002X
2045 S VINEYARD STE 133, Mesa, AZ 85210
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Other Names 1

Doing Business AsCommunity Clinical Pharmacy

Other Identifiers 2

Medicaid837734AZ
Other1991673Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTIAN KANISKI PHARMD
Pharmacist
2045 S VINEYARD STE 133
MESA, AZ 85210
Maricopa County (480) 969-0600
COMMUNITY CLINICAL PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
2045 S VINEYARD STE 133
MESA, AZ 85210
Maricopa County (480) 969-0600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Apoteka Compounding LLC's NPI number?

The NPI number for Apoteka Compounding LLC is 1194736777. It was assigned to this organization in the NPPES registry on August 10, 2006. The provider is doing business as Community Clinical Pharmacy.

Where is Apoteka Compounding LLC located?

Apoteka Compounding LLC is located at 2045 S Vineyard Ste 133, Mesa, AZ 85210. The listed phone number is (480) 969-0600.

What is Apoteka Compounding LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

What insurance does Apoteka Compounding LLC accept?

Health plans from Medica and Moda Health Plan, Inc. list Apoteka Compounding LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Apoteka Compounding LLC was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.