Anovorx Group, LLC
Organization Active NPI Community/Retail Pharmacy · Jonesboro, AR
NPI 1982198388 · NPPES record last updated Jun 19, 2018
Key facts
- NPI
- 1982198388
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- AR20878 (AR)
- Legal business name
- ANOVORX GROUP, LLC
- Practice address
- 406 E Washington Ave
Jonesboro, AR 72401-3108 - Phone
- (866) 763-3044
- Fax
- (901) 201-5465
- NPI assigned
- Jun 19, 2018
- Organization subpart
- No
Authorized official
- Name
- Jon Peters
- Title
- President and Managing Member
- Phone
- (901) 201-5470
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 3
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Anovorx Group, LLC |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181112001573 | AR | DME Supplier - Pharmacy | 2860627098 | Practice locations: Jonesboro, AR |
National Provider Directory
- Tax ID family
- Anovorx Group LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | AR20878 | AR | Yes |
Addresses
Primary practice location
406 E Washington Ave
Jonesboro, AR 72401-3108
Mailing address
1710 Shelby Oaks Dr N Ste 2
Memphis, TN 38134-7403
Phone (901) 201-5470
Other providers in Jonesboro, AR
- Anesthesia Services Associates, PLLC.
- Nicole Lisset Angel
- Angela C. Howell,OD PA
- Angela Howell OD PA
- Kerri Annable
- Anthony Bartels III DDS PA
- Anthony Pickering LCSW LLC
- Gloria Anthony
- Tara Anthony
- Joshua Anyekase
All providers in Jonesboro, AR · Community/Retail Pharmacy in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2018. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.