Organization Active NPI

Anovorx Group LLC

  • Specialty Pharmacy
  • Chandler, AZ
National Provider Identifier
1750028130
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
ANOVORX GROUP LLC
Practice address
17500 South 40TH St, Building B
Suite 600a
Chandler, AZ 85226-2572
Phone
(901) 201-5470
Fax
(901) 201-5465
NPI assigned
May 17, 2022
Last updated
May 17, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ANOVORX GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Jon Peters
Title
President and Ceo
Phone
(901) 201-5470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

17500 South 40TH St, Building B
Suite 600a
Chandler, AZ 85226-2572

Mailing address

1710 Shelby Oaks Dr N Ste 2
Memphis, TN 38134-7403
Phone (901) 201-5470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230613001799 AZ DME Supplier - Pharmacy 2860627098 Practice locations: Chandler, AZ
O20230619000494 AZ Part B Supplier - Pharmacy 2860627098 Practice locations: Chandler, AZ

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Anovorx Group LLC17500 South 40TH Street, Chandler, AZ 85226-2572(844) 288-5007 Epoetin|Immunosuppressive Drugs|Oral Anticancer Drugs Accepts assignmentParticipating since Nov 23, 2016

National Provider Directory

National Provider Directory
Tax ID family
Anovorx Group LLC4 organizations share this tax ID, including this one
Part of
Anovorx Group LLC

Other organizations with this tax ID 3

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

Locations

17500 S 40th St
Bldg B
Chandler, AZ 85226
Phone (480) 688-2249

1710 Shelby Oaks Dr N
Ste 1
Memphis, TN 38134
Phone (901) 201-5468

1710 Shelby Oaks Dr N
Ste 5
Memphis, TN 38134
Phone (901) 201-5470

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": "1652745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1750028130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 SHELBY OAKS DR N STE 2",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347403",
            "telephone_number": "901-201-5470",
            "fax_number": "901-201-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 SOUTH 40TH ST, BUILDING B",
            "address_2": "SUITE 600A",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262572",
            "telephone_number": "901-201-5470",
            "fax_number": "901-201-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANOVORX GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANOVORX GROUP LLC",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "901-201-5470"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.