Aviva Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

AVIVA PHARMACY LLC

Doing business as

Aviva Pharmacy

Practice address

104 Industrial Blvd Ste 204
Sugar Land, TX 77478-3174

Phone

(832) 610-3633

NPI assigned

Nov 2, 2021

Last updated

Nov 2, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yen Chang

Title

Managing Member

Phone

(832) 610-3633

Specialties & licenses 1

Addresses

Other names 1

• Aviva Pharmacy Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1063177301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 INDUSTRIAL BLVD STE 204",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783174",
            "telephone_number": "832-610-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 INDUSTRIAL BLVD STE 204",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783174",
            "telephone_number": "832-610-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIVA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "YEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "832-610-3633"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aviva Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.