RAV PHARMA LLC (NPI# 1730678996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730678996 |
| Entity Type | Organization |
| Organization Name | RAV PHARMA LLC |
| Other Organization Name | CITIZEN PHARMACY |
| Practice Address |
450077 State Road 200 Ste 4 Callahan FL 32011-3863 |
| Mailing Address |
Po Box 600047 Jacksonville FL 32260-0047 |
| Practice Telephone | 9045150929 |
| Practice Fax Number | 8443248493 |
| Mailing Telephone | 9045150929 |
| Mailing Fax Number | 8443248493 |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2019-04-18 |
| Authorized Official Name | RAJAT WADHWA (MEMBER) |
| Authorized Official Telephone | 9045150929 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH31314 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2177464 | 01 |
| Other Name | Type Code |
|---|---|
| CITIZEN PHARMACY | Doing Business As Name - Organization |
| CITIZEN PHARMACY#945 | Doing Business As Name - Organization |
| Street Address |
450077 STATE ROAD 200 STE 4 |
| City | CALLAHAN |
| State | FL |
| Zip Code | 32011-3863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508327875 | Lathern Barnard Jones | Respiratory Therapist, Registered | 45772 Jones Way, Callahan, FL 32011 | 2019-03-28 |
| 1245799907 | Allan Harrison | Homemaker | 543514 Us Highway 1, Callahan, FL 32011 | 2019-03-13 |
| 1801360920 | Taylor Marie Catrett | Nurse Practitioner | 449621 Us Highway 201, Suite 201, Callahan, FL 32011 | 2019-01-11 |
| 1528369063 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 542356 Us Highway 1, Callahan, FL 32011 | 2010-11-16 |
| 1033310313 | James Roger Harrison | Dentist | 45390 Green Ave., Callahan, FL 32011 | 2007-05-31 |
| 1700993383 | William David Titus | Dentist | 542182 U. S. Highway 1, Callahan, FL 32011 | 2006-08-23 |
| 1083623953 | Bettye Ann Spillers | Registered Nurse | 45377 Mickler Street, Callahan, FL 32011 | 2006-08-07 |
| 1285691691 | Daniel Robert Weaver | Chiropractor | 542184 S Kings Rd, Space 3b, Callahan, FL 32011 | 2006-04-28 |
| 1780659169 | Cara A Lapkowicz | Podiatrist | 542067 Us Hwy 1, Callahan, FL 32011 | 2006-02-21 |
| 1245716836 | Haylie Whittenburg | Nurse Practitioner | 542325 Us Highway 1, Callahan, FL 32011 | 2018-07-17 |
| Find all providers in zip 32011 | ||||
| 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] |
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| 1073112116 | Hl72 LLC | Pharmacy | 5193 Clark Rd, Sarasota, FL 34233-3213 | 2020-10-20 |
| 1689280851 | Unique Pharmacy Corp | Pharmacy | 7800 Sw 87th Ave Ste 210b, Miami, FL 33173-2537 | 2020-09-22 |
| 1033723127 | Five Pillars Corporation | Pharmacy | 2301 N University Dr Ste 112, Pembroke Pines, FL 33024-3617 | 2020-09-04 |
| 1780297655 | Healthy Living Pharmacy LLC | Pharmacy | 755 Rosemary Cir, Bradenton, FL 34212-5015 | 2020-08-28 |
| 1326651555 | Purformance Wellness Pharmacy LLC | Pharmacy | 600 Se Indian St Ste 3, Stuart, FL 34997-5540 | 2020-08-27 |
| 1043822620 | Specialtycarerx LLC | Pharmacy | 821 N Us Highway 1 Ste A, Ormond Beach, FL 32174-4528 | 2020-08-17 |
| 1831700855 | Kingsley Rx LLC | Pharmacy | 1542 Kingsley Ave Ste 142, Orange Park, FL 32073-4547 | 2020-08-13 |
| 1104435742 | Easyscripts LLC | Pharmacy | 2601 S Military Trl Ste 1, West Palm Beach, FL 33415-7509 | 2020-07-29 |
| 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.