NPIMap

Organization Active NPI

Avita Drugs LLC

  • Pharmacy
  • Baton Rouge, LA
National Provider Identifier
1619332145
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY006081IR Issued in LA
Legal business name
AVITA DRUGS LLC
Practice address
5551 Corporate Blvd
Baton Rouge, LA 70808-2567
Phone
(844) 533-0588
Fax
(844) 533-0607
NPI assigned
Dec 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Authorized official

Name
Marshall Frost, PHARMD
Title
Director of It & Vendor MGMT
Phone
(803) 254-5884

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY006081IR LA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

5551 Corporate Blvd
Baton Rouge, LA 70808-2567

Mailing address

5551 Corporate Blvd
Baton Rouge, LA 70808-2567
Phone (844) 533-0588

Other identifiers 1

IdentifierTypeStateIssuer
2156092OtherPK

Other names 1

  • Avita Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Avita Drugs LLC21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

5551 Corporate Blvd
Baton Rouge, LA 70808
Phone (844) 533-0588

NPI Registry JSON

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1619332145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5551 CORPORATE BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708082567",
            "telephone_number": "844-533-0588",
            "fax_number": "844-533-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5551 CORPORATE BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708082567",
            "telephone_number": "844-533-0588",
            "fax_number": "844-533-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVITA DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "DIRECTOR OF IT & VENDOR MGMT",
        "authorized_official_telephone_number": "803-254-5884",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "PHY006081IR",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2156092",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avita Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.