Alixa Rx LLC
NPI 1497020390 · Long Term Care Pharmacy · Eden Prairie, MN
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Alixa Rx LLC is a Long Term Care Pharmacy organization in Eden Prairie, MN (NPI 1497020390).
Provider details
- NPI number
- 1497020390
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Parent organization
- Marina Pharmacy Corp
- Organization subpart
- Yes
- Authorized official
- Michael Shamalov, Managing Member(631) 321-3850
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Alixa Rx
- Doing business as
- Alixa Rx
Registry dates
- Enumerated
- 2012-03-12
- Last updated
- 2023-11-20
- Certified
- 2023-11-20
Frequently asked questions
- What is Alixa Rx LLC's NPI number?
- Alixa Rx LLC's National Provider Identifier (NPI) is 1497020390, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Alixa Rx LLC?
- Alixa Rx LLC is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Alixa Rx LLC located?
- Alixa Rx LLC's practice location on file with NPPES is 10132 West 76th St, Eden Prairie, MN 55344.
- What is Alixa Rx LLC's phone number?
- The practice phone number listed in the NPPES registry for Alixa Rx LLC is (972) 372-6334.
- Does Alixa Rx LLC accept Medicare?
- Alixa Rx LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Alixa Rx LLC?
- The authorized official listed on Alixa Rx LLC's NPPES record is Michael Shamalov, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Alixa Rx LLC's NPI active?
- Yes — Alixa Rx LLC's NPI (1497020390) is active in the NPPES registry as of the last update on 2023-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.