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MIX IT RX LLC
NPI 1316562143
Pharmacy - Community/Retail Pharmacy in Missouri City, TX

Active since June 08, 2020
4775 LEXINGTON BLVD, MISSOURI CITY, TX 77459(346) 341-7995(346) 770-3157 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 2, 2020, Sep 8, 2020, Jun 8, 2020 (3 updates tracked since 2020).

About Mix It Rx Llc NPPES

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

MIX IT RX LLC (NPI 1316562143) is a healthcare organization registered as a community/retail pharmacy in Missouri City, Texas and active in the NPI registry since June 2020. The organization lists Kecia Anderson, Pharmacist-in-charge, as its authorized official.

NPPES Registry Identity

NPI1316562143
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMIX IT RX LLC
Location Address4775 LEXINGTON BLVDMissouri City, TX 77459-2801
Mailing Address4775 Lexington BlvdMissouri City, TX 77459-2801 · (346) 341-7995 · Fax (346) 770-3157
Phone(346) 341-7995
Fax(346) 770-3157
Organization SubpartNo
Authorized OfficialKecia AndersonPharmacist-in-charge · (612) 386-9483
Enumeration DateJune 8, 2020
Last NPPES UpdateNovember 2, 20203 updates tracked since enumeration
NPPES CertifiedNovember 2, 2020
✔ NPI 1316562143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
4775 LEXINGTON BLVD, Missouri City, TX 77459
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Other Identifiers 1

Medicaid691069TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mix It Rx Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20211012002584Non-DME Part B · PharmacyDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 3

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

MS. MARIA TERESA SOTO LMT
Massage Therapist
4775 LEXINGTON BLVD
MISSOURI CITY, TX 77459
Fort Bend County (713) 503-3459
DR. BRANDANT ISAAC CRUZ D.C.
Chiropractor
4775 LEXINGTON BLVD
MISSOURI CITY, TX 77459
Fort Bend County (512) 775-9655
SUGARLAND TOTAL BODYWORK, LLC
Chiropractor
4775 LEXINGTON BLVD
MISSOURI CITY, TX 77459
Fort Bend County (281) 480-7000

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 Mix It Rx LLC's NPI number?

The NPI number for Mix It Rx LLC is 1316562143. It was assigned to this organization in the NPPES registry on June 8, 2020.

Where is Mix It Rx LLC located?

Mix It Rx LLC is located at 4775 Lexington Blvd, Missouri City, TX 77459. The listed phone number is (346) 341-7995.

What is Mix It Rx LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Mix It Rx LLC enrolled in Medicare?

Yes. Mix It Rx LLC is registered in the Medicare PECOS enrollment system.

When is Mix It Rx LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Pharmacy) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Mix It Rx LLC accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Blue Cross and Blue Shield of Louisiana and BlueCross BlueShield of Tennessee and 2 other insurers list Mix It Rx 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 Mix It Rx LLC was last updated on November 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.