Avm Compounding Pharmacy LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

AVM COMPOUNDING PHARMACY LLC

Practice address

501 S Lincoln Ave Ste 203
Clearwater, FL 33756-5945

Phone

(727) 447-4248

NPI assigned

Sep 18, 2020

Organization subpart

No

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

Authorized official

Name

Miral Patel

Title

President

Phone

(727) 793-7672

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1467068197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2277 HANNAH WAY S",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346989452",
            "telephone_number": "727-447-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S LINCOLN AVE STE 203",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565945",
            "telephone_number": "727-447-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVM COMPOUNDING PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MIRAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-793-7672"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Compounding Pharmacy in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Compounding Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.