AVITA DRUGS TENNESSEE, LLC


Address: 806 S Cooper St Ste A, Memphis, TN 38104-5406
Phone: 9016726160

AVITA DRUGS TENNESSEE, LLC (NPI# 1740831072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740831072
Entity Type Organization
Organization Name AVITA DRUGS TENNESSEE, LLC
Practice Address 806 S Cooper St Ste A
Memphis
TN 38104-5406
Mailing Address 10604 Coursey Blvd
Baton Rouge
LA 70816-4015
Practice Telephone 9016726160
Mailing Telephone 2252361541
Enumeration Date 2019-09-27
Last Update Date 2019-09-27
Authorized Official Name ASHLEY ELLIS (CORPORATE COUNSEL)
Authorized Official Telephone 8032545884
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers

Other Provider/Organization Names

Other Name Type Code
Avita Pharmacy Doing Business As Name - Organization

Office Location

Street Address 806 S COOPER ST STE A
City MEMPHIS
State TN
Zip Code 38104-5406

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952900367 Christy White Recreation Therapist 1030 Jefferson Ave (rt117), Memphis, TN 38104 2020-10-19
1821615873 Altiana Carter Optometrist 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 2020-06-25
1952898413 Family To Family Adult Care Service Chore Provider 1331 Union Ave Suite 1028, Mempnis, TN 38104 2018-04-19
1326544800 Kimberly Vestoria Mcclinton Nurse Practitioner 2200 Union Ave 1, Memphis, TN 38104 2018-04-03
1649799339 Benjamin Duhart Jr. Pharmacist 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 2017-09-13
1134644982 Amy Michelle Wise Nurse Practitioner 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 2017-08-13
1316468572 Jinger Cathey Social Worker 1330 Jefferson Ave, Memphis, TN 38104 2017-06-28
1336669183 Charma May Kavuncu Social Worker 1407 Union Ave Ste 1100, Memphis, TN 38104 2017-06-22
1003345398 Angelica J Dennis Nurse Practitioner 1265 Union, Memphis, TN 38104 2017-06-08
1609302546 Cheryl Beene Nurse Practitioner 1211 Union Ave Ste 475, Memphis, TN 38104 2017-05-11
Find all providers in zip 38104

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy 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.
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: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366069965 Plaza Pharmacy LLC Pharmacy 3024 Covington Pike Ste 5, Memphis, TN 38128-5043 2020-06-30
1699398602 Walgreen Co Pharmacy 262 Danny Thomas Pl Ste 100rx, Memphis, TN 38105-3678 2020-05-26
1619536570 A Transition To Independence Pharmacy 2778 Treasure Island Dr E, Memphis, TN 38115-1707 2019-06-13
1992248702 Anovorx Group LLC Pharmacy 1710 Shelby Oaks Dr N Ste 5, Memphis, TN 38134-7403 2016-11-28
1104207166 Good Shepherd Medication Management Pharmacy 6052 Hickory Ridge Mall Ste 148, Memphis, TN 38115 2015-06-16
1710372214 Getwell Pharmacy LLC Pharmacy 3960 Knight Arnold Rd Ste 112, Memphis, TN 38118-3001 2015-04-01
1518397199 Freds Stores of Tennessee Inc Pharmacy 1290 Lamar Ave, Memphis, TN 38104 2013-11-19
1073946091 Quality Rx Compounding LLC Pharmacy 920 Estate Dr Ste 8, Memphis, TN 38119-3608 2013-08-13
1417209016 Freds Stores of Tennessee Inc Pharmacy 7965 E Shelby Dr, Memphis, TN 38125-3755 2012-10-05
1780934281 Freds Stores of Tennessee Inc Pharmacy 7143 Winchester Rd, Memphis, TN 38125 2012-09-12
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Competitor

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City MEMPHIS
Zip Code 38104

Improve Information

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Dataset Information

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.

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