NPIMap

Organization Active NPI

Avni Inc

Doing business as Avni Apothecary

  • Community/Retail Pharmacy
  • Mount Airy, MD
National Provider Identifier
1275919086
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P06847 Issued in MD
Legal business name
AVNI INC
Doing business as
Avni Apothecary
Practice address
2702 Back Acre Cir Ste 190-B
Mount Airy, MD 21771-7769
Phone
(301) 703-8836
Fax
(301) 703-8876
NPI assigned
Aug 4, 2015
Last updated
Jan 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
Kimberly LizardoNPI 1508204819
Title
Pharmacist in Charge
Phone
(301) 703-8836

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P06847 MD Primary

Addresses

Primary practice location

2702 Back Acre Cir Ste 190-B
Mount Airy, MD 21771-7769

Mailing address

2702 Back Acre Cir
Suite 190-B
Mount Airy, MD 21771-7769
Phone (301) 703-8836

Other names 1

  • Avni Apothecary Doing business as

National Provider Directory

National Provider Directory

Locations

2702 Back Acre Cir
Ste 190B
Mount Airy, MD 21771
Phone (301) 703-8836

Practitioners & affiliated clinicians

Practitioners 1

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": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1275919086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 BACK ACRE CIR",
            "address_2": "SUITE 190-B",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217717769",
            "telephone_number": "301-703-8836",
            "fax_number": "301-703-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 BACK ACRE CIR STE 190-B",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217717769",
            "telephone_number": "301-703-8836",
            "fax_number": "301-703-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVNI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "LIZARDO",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "301-703-8836"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P06847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avni Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Airy, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.