Organization Active NPI

Afya Group LLC

Doing business as Avant Pharmacy and Wellness

  • Community/Retail Pharmacy
  • Charlotte, NC
National Provider Identifier
1235375742
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
10216 Issued in NC
Legal business name
AFYA GROUP LLC
Doing business as
Avant Pharmacy and Wellness
Practice address
9835 Monroe Rd
Charlotte, NC 28270-1471
Phone
(704) 537-0909
Fax
(704) 537-0497
NPI assigned
Jan 5, 2009
Last updated
May 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Authorized official

Name
Amina Abubakar, PHARMDNPI 1518086586
Title
Manager/Owner
Phone
(215) 840-5510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Clinic Pharmacy 3336C0002X NU
Community/Retail Pharmacy 3336C0003X 10216 NC Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

9835 Monroe Rd
Charlotte, NC 28270-1471

Mailing address

9835 Monroe Rd
Charlotte, NC 28270-1471
Phone (704) 537-0909

Other identifiers 1

IdentifierTypeStateIssuer
2118386OtherPK

Other names 1

  • Avant Pharmacy and Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20110119000728 NC DME Supplier - Pharmacy 4183803422 Practice locations: Charlotte, NC
O20140226002182 NC Part B Supplier - Pharmacy 4183803422 Practice locations: Charlotte, NC
O20211112001971 NC Part B Supplier - Independent Clinical Laboratory 4183803422 Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

7308 E Independence Blvd
#1
Charlotte, NC 28227
Phone (704) 537-0909

7308 E Independence Blvd
Ste I
Charlotte, NC 28227
Phone (704) 537-0909

9835 Monroe Rd
Charlotte, NC 28270
Phone (609) 922-4700

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1235375742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9835 MONROE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701471",
            "telephone_number": "704-537-0909",
            "fax_number": "704-537-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9835 MONROE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701471",
            "telephone_number": "704-537-0909",
            "fax_number": "704-537-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFYA GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-05",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "ABUBAKAR",
        "authorized_official_first_name": "AMINA",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "215-840-5510",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10216",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2118386",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avant Pharmacy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.