AVITA DRUGS LLC (NPI# 1619332145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619332145 |
| Entity Type | Organization |
| Organization Name | AVITA DRUGS LLC |
| Other Organization Name | AVITA HEALTH |
| Practice Address |
5551 Corporate Blvd Baton Rouge LA 70808-2567 |
| Practice Telephone | 8445330588 |
| Practice Fax Number | 8445330607 |
| Mailing Telephone | 8445330588 |
| Mailing Fax Number | 8445330607 |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2016-08-02 |
| Authorized Official Name | MARSHALL FROST (DIRECTOR OF IT & VENDOR MGMT) |
| Authorized Official Telephone | 8032545884 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PHY006081IR | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2156092 | 01 |
| Other Name | Type Code |
|---|---|
| Avita Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780234567 | Avita Drugs LLC | Pharmacy | 1715 Common St Ste A, Lake Charles, LA 70601-6135 | 2019-09-13 |
| 1538526470 | Avita Drugs LLC | Pharmacy | 6800 West Loop S Ste 225, Suite 225, Bellaire, TX 77401-4541 | 2016-01-22 |
| 1962816223 | Avita Drugs LLC | Pharmacy | 5551 Corporate Blvd Ste 102, Baton Rouge, LA 70808-2512 | 2014-06-16 |
| 1841467594 | Avita Drugs LLC | Pharmacy | 2601 Tulane Ave Ste 445, Suite 445, New Orleans, LA 70119-7479 | 2008-05-13 |
| 1154598266 | Avita Drugs LLC | Pharmacy | 5551 Corporate Blvd, Suite 102, Baton Rouge, LA 70808-2567 | 2008-05-08 |
| 1710031166 | Avita Drugs LLC | Pharmacy | 6226 Jefferson Hwy, Ste G, Harahan, LA 70123-5153 | 2007-01-23 |
| 1629435565 | Avita Drugs LLC | Pharmacy | 3308 Tulane Ave, Suite 102, New Orleans, LA 70119-7100 | 2016-01-22 |
| Street Address |
5551 CORPORATE BLVD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808-2567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154598266 | Avita Drugs LLC | Pharmacy | 5551 Corporate Blvd, Suite 102, Baton Rouge, LA 70808-2567 | 2008-05-08 |
| 1790149854 | Thomas Koontz | Pharmacist | 5551 Corporate Blvd, Suite 102, Baton Rouge, LA 70808-2567 | 2016-04-05 |
| 1831558162 | Oneka Barnes Watson | Pharmacist | 5551 Corporate Blvd, Suite 102, Baton Rouge, LA 70808-2567 | 2016-02-15 |
| 1790144038 | Talawanga Johnson-burl | Pharmacist | 5551 Corporate Blvd, Suite 102, Baton Rouge, LA 70808-2567 | 2016-02-15 |
| 1508260191 | Jennifer Monette | Pharmacist | 5551 Corporate Blvd, Suite 102, Baton Rouge, LA 70808-2567 | 2014-10-10 |
| 1467856039 | Phaedra Honore | Pharmacist | 5551 Corporate Blvd, Suite 102, Baton Rouge, LA 70808-2567 | 2014-10-10 |
| 1639573207 | Kristy Poche | Pharmacist | 5551 Corporate Blvd, Suite 102, Baton Rouge, LA 70808-2567 | 2014-10-10 |
| 1194129775 | Dwight Paul Thibodeaux | Pharmacist | 5551 Corporate Blvd, Suite 102, Baton Rouge, LA 70808-2567 | 2014-10-10 |
| 1952705527 | Keisha Taylor | Pharmacist | 5551 Corporate Blvd, Suite 102, Baton Rouge, LA 70808-2567 | 2014-10-10 |
| 1205261690 | Breannie Charles | Pharmacist | 5551 Corporate Blvd, Ste 102, Baton Rouge, LA 70808-2567 | 2013-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
| 1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
| 1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
| 1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
| 1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
| Find all providers in zip 70808 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
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| 1932615820 | Parkers Pharmacy LLC | Pharmacy | 9600 Florida Blvd, Suite 5, Baton Rouge, LA 70815-1110 | 2017-12-14 |
| 1164968491 | P & C Healthcare LLC | Pharmacy | 3490 Drusilla Ln, Baton Rouge, LA 70809-1866 | 2017-01-10 |
| 1538619614 | Keystone Pharmacy Services LLC | Pharmacy | Broussard Athletic Training Ctr, North Stadium Drive, Baton Rouge, LA 70803-0001 | 2016-10-12 |
| 1629528526 | Keystone Pharmacy Services LLC | Pharmacy | Student Health Center Building, Infirmary Dr Room 172 Louisiana State University, Baton Rouge, LA 70803-0001 | 2016-10-04 |
| 1346642329 | Brown's Pharmacy LLC | Pharmacy | 3111 Florida Blvd, Suite B, Baton Rouge, LA 70806-3758 | 2014-09-22 |
| 1215365341 | O'donovan Pharmacy | Pharmacy | 5131 Odonovan Dr Ste 402, Baton Rouge, LA 70808-4792 | 2013-10-29 |
| 1063789253 | Affordable Pharmacy LLC | Pharmacy | 1718 N Foster Dr Ste B, Baton Rouge, LA 70806-1076 | 2011-11-16 |
| 1184901696 | K & B Pharmacy | Pharmacy | 7353 Highland Rd, Baton Rouge, LA 70808-6610 | 2011-11-11 |
| 1942583166 | Landry Colham LLC | Pharmacy | 243 N Acadian Thruway Ste 1, Baton Rouge, LA 70806-3772 | 2011-09-23 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70808 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.