MIND 247 PRACTICE LLC
NPI 1326756420
Pharmacy - Long Term Care Pharmacy in Mesa, AZ

Q: What is Mind 247 Practice LLC's NPI number?

The NPI number for Mind 247 Practice LLC is 1326756420. It was assigned to this organization in the NPPES registry on November 8, 2022.

Q: What is Mind 247 Practice LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Active since November 08, 2022CLIA 03D2239920 · Waiver

1138 S HIGLEY RD, MESA, AZ 85206(844) 646-3247(480) 546-4048 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mind 247 Practice Llc NPPES

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

MIND 247 PRACTICE LLC (NPI 1326756420) is a healthcare organization registered as a long term care pharmacy in Mesa, Arizona and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through October 13, 2027 and lists Aisha Lynn Depriest, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1326756420

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameMIND 247 PRACTICE LLC

Location Address1138 S HIGLEY RDMesa, AZ 85206-3000

Mailing Address1465 N Scottsdale Rd Ste 400Scottsdale, AZ 85257-3634 · (844) 646-3247 · Fax (480) 546-4048

Phone(844) 646-3247

Fax(480) 546-4048

Organization SubpartNo

Authorized OfficialAisha Lynn DepriestDirector Of Credentialing · (844) 646-3247

Enumeration DateNovember 8, 2022

NPPES CertifiedNovember 8, 2022

✔ NPI 1326756420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X

Also ListedPharmacy · Institutional PharmacyTaxonomy 3336I0012X

Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X

1138 S HIGLEY RD, Mesa, AZ 85206

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2239920

Mind 247 Practice LLC - Higley · Mesa, AZ

Active · expires Oct 13, 2027

CLIA Number03D2239920

Laboratory TypeCommunity Clinic

Certificate Effective DateOctober 14, 2025

Certificate Expiration DateOctober 13, 2027

Laboratory DirectorJohn Lee

Laboratory Phone(480) 805-1443

Laboratory LocationMind 247 Practice LLC - Higley1138 S Higley Rd, Mesa, AZ 85206

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

DR. SHANNON RAE HOFF PHARM.D.

Pharmacist