Organization Active NPI

Avighna LLC

Doing business as States Drug

  • Community/Retail Pharmacy
  • Statesville, NC
National Provider Identifier
1376339531
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
AVIGHNA LLC
Doing business as
States Drug
Practice address
110 Stockton St
Statesville, NC 28677-5253
Phone
(704) 380-2725
Fax
(704) 380-2333
NPI assigned
Apr 15, 2025
Last updated
Apr 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Purvish Mehta
Title
Pharmacy Manager
Phone
(631) 338-2122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

110 Stockton St
Statesville, NC 28677-5253

Mailing address

110 Stockton St
Statesville, NC 28677-5253
Phone (704) 380-2725

Other names 1

  • States Drug Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1376339531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 STOCKTON ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775253",
            "telephone_number": "704-380-2725",
            "fax_number": "704-380-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 STOCKTON ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775253",
            "telephone_number": "704-380-2725",
            "fax_number": "704-380-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIGHNA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "PURVISH",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "631-338-2122"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "States Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.