AVITA DRUGS LLC (NPI# 1962816223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962816223 |
| Entity Type | Organization |
| Organization Name | AVITA DRUGS LLC |
| Other Organization Name | AVITA SPECIALTY PHARMACY |
| Practice Address |
5551 Corporate Blvd Ste 102 Baton Rouge LA 70808-2512 |
| Mailing Address |
5551 Corporate Blvd Suite 102 Baton Rouge LA 70808-2567 |
| Practice Telephone | 2259241930 |
| Practice Fax Number | 2259242620 |
| Mailing Telephone | 2259241930 |
| Mailing Fax Number | 2259242620 |
| Enumeration Date | 2014-06-16 |
| 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 |
|---|---|---|---|---|---|
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PHY.006081-IR | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2146281 | 01 |
| Other Name | Type Code |
|---|---|
| AVITA SPECIALTY PHARMACY | 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 |
| 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 |
| 1619332145 | Avita Drugs LLC | Pharmacy | 5551 Corporate Blvd, Baton Rouge, LA 70808-2567 | 2015-12-29 |
| Street Address |
5551 CORPORATE BLVD STE 102 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808-2512 |
| 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 | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801309133 | Fmol Health Systems | Pharmacy | 4950 Essen Ln Ste 540, Baton Rouge, LA 70809-3738 | 2017-11-08 |
| 1932412095 | Optum Infusion Services 305, LLC | Pharmacy | 11211 Industriplex Blvd., Ste. 900, Baton Rouge, LA 70809 | 2010-07-19 |
| 1255722468 | Affordable Pharmacy LLC | Pharmacy | 1718 N Foster Dr Ste B, Baton Rouge, LA 70806-1076 | 2015-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912479270 | H & W Drug Store 3 | Pharmacy | 1667 Tchoupitoulas St Ste B, New Orleans, LA 70130-1852 | 2018-12-27 |
| 1184111270 | Option Care Enterprises, Inc. | Pharmacy | 524 Elmwood Park Blvd Ste 120, Elmwood, LA 70123 | 2018-04-16 |
| 1760836381 | Ochsner Pharmacy and Wellness LLC | Pharmacy | 1405 Jefferson Hwy Ste A, New Orleans, LA 70121-2426 | 2016-04-20 |
| 1255566857 | Medcore Specialty Pharmacy | Pharmacy | 1435 E. Carroll St., Suite B, Coushatta, LA 71019 | 2009-05-27 |
| 1033508544 | Rays Pharmacy On Versailles LLC | Pharmacy | 78a Versailles Blvd, Alexandria, LA 71303-3960 | 2015-01-21 |
| 1215274741 | Lacombe Family Pharmacy LLC | Pharmacy | 28079 Us Hwy 190, Lacombe, LA 70445 | 2013-01-03 |
| 1689910960 | Lacombe Family Pharmacy LLC | Pharmacy | 28079 Us Hwy 190, Lacombe, LA 70445 | 2012-12-14 |
| 1568784031 | Medrx Inc | Pharmacy | 745 Olive St, Suite 201, Shreveport, LA 71104-2246 | 2010-02-24 |
| 1629092150 | Complete Vital Care, Inc. | Pharmacy | 2530 Bert Kouns Industrial Loop, Ste 116, Shreveport, LA 71118-3132 | 2006-07-27 |
| City | BATON ROUGE |
| Zip Code | 70808 |
Please comment or provide details below to improve the information on AVITA DRUGS LLC.
| 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.