Anovorx Group, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR20878 Issued in 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

Last updated

Jun 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jon Peters

Title

President and Managing Member

Phone

(901) 201-5470

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

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

• Anovorx Group LLC

  • Specialty Pharmacy
  • Memphis, TN
  • NPI 1619213212

  2860627098

  Same PAC ID
• Anovorx Group LLC

  • Specialty Pharmacy
  • Chandler, AZ
  • NPI 1750028130

  2860627098

  Same PAC ID

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

Tax ID family

Anovorx Group LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Anovorx Group LLC

  • Specialty Pharmacy
  • Memphis, TN
  • NPI 1619213212
  NPD tax ID
• Anovorx Group LLC

  • Specialty Pharmacy
  • Chandler, AZ
  • NPI 1750028130
  NPD tax ID
• Anovorx Group, LLC

  • Community/Retail Pharmacy
  • Memphis, TN
  • NPI 1548780646
  NPD tax ID

Locations

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1982198388",
    "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": "406 E WASHINGTON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013108",
            "telephone_number": "866-763-3044",
            "fax_number": "901-201-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANOVORX GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT AND MANAGING MEMBER",
        "authorized_official_telephone_number": "901-201-5470"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anesthesia Services Associates, PLLC.
• Nicole Lisset Angel, MD, MPH
• Angela C. Howell,OD PA
• Angela Howell OD PA
• Kerri Annable, OTA
• Anthony Bartels III DDS PA
• Anthony Pickering LCSW LLC
• Gloria Anthony
• Tara Anthony
• Joshua Anyekase, MD

• Community/Retail Pharmacy in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.