AVITA DRUGS LLC (NPI# 1710031166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710031166 |
| Entity Type | Organization |
| Organization Name | AVITA DRUGS LLC |
| Other Organization Name | AVITA DRUGS LLC |
| Practice Address |
6226 Jefferson Hwy Ste G Harahan LA 70123-5153 |
| Practice Telephone | 5047374007 |
| Practice Fax Number | 5047374008 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2009-02-12 |
| Authorized Official Name | STEVE MOUBRY (VP OF FINANCE) |
| Authorized Official Telephone | 5047374007 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
6048IR | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04874393 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1931345 | 01 | |
| LA | 1271152 | 05 |
| Other Name | Type Code |
|---|---|
| AVITA DRUGS LLC | 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 |
| 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 |
6226 JEFFERSON HWY STE G |
| City | HARAHAN |
| State | LA |
| Zip Code | 70123-5153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508284639 | Kim M Karnell | Speech-Language Pathologist | 6226 Jefferson Hwy, Suite D, Harahan, LA 70123-5153 | 2014-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780327 | Cerner Health Connections, Inc | Pharmacy | The Laitram Pharmacy, 5307 Toler St, Harahan, LA 70123 | 2020-01-29 |
| 1184111270 | Option Care Enterprises, Inc. | Pharmacy | 524 Elmwood Park Blvd Ste 120, Elmwood, LA 70123 | 2018-04-16 |
| 1740703214 | Rebekah Murray Dykes | Physician Assistant | 9605 Jefferson Hwy Ste G, River Ridge, LA 70123 | 2017-07-17 |
| 1710420260 | Cindy M Tregre | Counselor | 1529 River Oaks Rd W Ste 121, New Orleans, LA 70123 | 2016-11-30 |
| 1184098725 | Tiffany Marie Banye | Case Manager/Care Coordinator | 5341 Citrus Blvd Apt L272, River Ridge, LA 70123 | 2015-11-19 |
| 1003290123 | Phoebe Rae Plaisance | Student in an Organized Health Care Education/Training Program | 1336 Hickory Ave., Apt. C, Harahan, LA 70123 | 2015-07-18 |
| 1255711495 | Chris Dysart | Physical Therapist | 1827 Hickory Ave Ste B, Harahan, LA 70123 | 2015-06-03 |
| 1184043275 | Joanna Cross-call Buckingham | Pediatrics | 9605 Jefferson Highway, River Ridge, LA 70123 | 2014-04-16 |
| 1972927259 | Cassandra Williams | Chiropractor | 844 S Clearview Pkwy Apt 209, River Ridge, LA 70123 | 2014-02-07 |
| 1770906182 | Amber Bloom | Chiropractor | 9045 Jefferson Highway, River Ridge, LA 70123 | 2014-01-22 |
| Find all providers in zip 70123 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780327 | Cerner Health Connections, Inc | Pharmacy | The Laitram Pharmacy, 5307 Toler St, Harahan, LA 70123 | 2020-01-29 |
| 1952866477 | J A C Pharmacy LLC | Pharmacy | 7335 Jefferson Hwy Ste 300a, Harahan, LA 70123-4515 | 2019-02-08 |
| 1619375219 | Pegasus Biologics, LLC | Pharmacy | 5700 Citrus Blvd, Suite D, Harahan, LA 70123-5813 | 2014-12-12 |
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| 1053929703 | Viallon Drug Co of Donaldsonville | Pharmacy | 309 Marchand Dr, Donaldsonville, LA 70346-3242 | 2020-07-20 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1417573593 | Doc Your Dose Pharmacy, LLC | Pharmacy | 17275 Hwy 77, Gross Tete, LA 70740 | 2020-06-24 |
| 1942829247 | Good Vibe Ventures LLC | Pharmacy | 5004 W Esplanade Ave Ste A, Metairie, LA 70006-2551 | 2020-04-16 |
| Find all providers with the same taxonomy | ||||
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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.