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Vertisis Custom Pharmacy

NPI 1588014880ActiveOrganization· Pharmacy, Compounding Pharmacy· Scottsdale, AZ

Pharmacy, Compounding Pharmacy in Scottsdale, Arizona, registered in NPPES in June 2016. The authorized official on file is Brian Harrison, Pharmacy Manager.

Overview

NPI1588014880
StatusActive
Entity typeOrganization
NPI issuedJun 16, 2016
Last updated in NPPESFeb 23, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy, Compounding Pharmacy Primary3336C0004XY007042AZ
Pharmacy333600000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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