Aviva Care Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

AVIVA CARE PHARMACY LLC

Practice address

2053 North University Drive
Sunrise, FL 33322

Phone

(954) 451-5578

Fax

(954) 451-5208

NPI assigned

May 27, 2020

Organization subpart

Yes

Parent organization

AVIVA CARE PHARMACY LLCAs reported in NPPES

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

Authorized official

Name

Irina Antonova, PHARMD

Title

Pharmacy Manager

Phone

(954) 451-5578

Specialties & licenses 1

Addresses

Tax ID family

Aviva Care Pharmacy LLC2 organizations share this tax ID, including this one

Part of

Aviva Care Pharmacy LLC

Other organizations with this tax ID 1

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

• Aviva Care LTC Pharmacy Inc

  • Long Term Care Pharmacy
  • Sunrise, FL
  • NPI 1336792639
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Aviva Care Pharmacy LLC

  • Community/Retail Pharmacy
  • Sunrise, FL
  • NPI 1962873646
  NPPES parent name

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1891318689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 NORTH UNIVERSITY DRIVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33322",
            "telephone_number": "954-451-5578",
            "fax_number": "954-451-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 NORTH UNIVERSITY DRIVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33322",
            "telephone_number": "954-451-5578",
            "fax_number": "954-451-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIVA CARE PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVIVA CARE PHARMACY LLC",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "ANTONOVA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "954-451-5578",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Avila- Garcia
• John Emmanuel Podelino Avila
• Laura Linnette Aviles-Medina, MD
• Jianah Isabella Aviles, 106S00000X
• Aviva Care LTC Pharmacy Inc
• Aviva Care Pharmacy LLC
• Medhat Ahmed Awad, M.D.
• Yumay Azcue Acosta
• Carmen Rosa Aznaran
• Azulla Community Health Center, Inc

• Long Term Care Pharmacy in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Long Term Care Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.