Avi RX LLC
Organization Active NPI Community/Retail Pharmacy · Ladson, SC
NPI 1508512435 · NPPES record last updated Mar 1, 2022
Key facts
- NPI
- 1508512435
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- AVI RX LLC
- Practice address
- 9616 Highway 78 Ste 6
Ladson, SC 29456-4500 - Phone
- (843) 800-8788
- Fax
- (843) 894-7775
- NPI assigned
- Mar 1, 2022
- Organization subpart
- No
Authorized official
- Name
- Hiral Patel
- Title
- Owner
- Phone
- (848) 459-5246
Practitioners 1
-
Laudan Ghahramani, RPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220921002549 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 1658756044 | Practice locations: Ladson, SC |
National Provider Directory
Locations
9616 Highway 78
Ladson, SC 29456
Phone (843) 797-8510
9616 Highway 78
Ste 6
Ladson, SC 29456
Phone (843) 800-8788
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
9616 Highway 78 Ste 6
Ladson, SC 29456-4500
Mailing address
129 Rivermill PL
Piedmont, SC 29673-7353
Phone (848) 459-5246
Other names
- Piggly Wiggly Pharmacy
Other providers in Ladson, SC
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- Charmain B Asby
- Ascension Collective Services
- Paige Nicole Atkinson
- Aventis Behavioral Consulting
- B&B Occupational Therapy
- Melissa Lynn Baatz
- Mikaela Anne Baker
- Jason Franklin Baldwin
- Amber Banks
All providers in Ladson, SC · Community/Retail Pharmacy in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.