Avita

Community/Retail Pharmacy Accepts Medicare


  
  1226 Chestnut St, Philadelphia
Pennsylvania, 19107-4849

 855-779-4720    558-779-4721
Avita is a Community/Retail Pharmacy in Philadelphia, Pennsylvania. This pharmacy is owned and operated by Pharmblue Llc. It is located at 1226 Chestnut St, Philadelphia and it's customer support contact number is 855-779-4720. The authorized person of Avita is Carl Cody Colquitt who is Chief Financial Officer of the pharmacy and his contact number is 469-850-6930. Active license number of Avita is PHAO1275 for Community/Retail Pharmacy in Alaska. Avita accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Avita is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Pharmacy Details:
Avita type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name: Avita
Type: Community/Retail Pharmacy
Location:1226 Chestnut St, Philadelphia,
Pennsylvania, 19107-4849
Phone:855-779-4720
Fax:558-779-4721
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name: Carl Cody Colquitt
Position: Chief Financial Officer
Contact Number: 469-850-6930
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number: 1386984771
NPI Enumeration Date: 21 Feb, 2013
NPI Last Update On: 13 Jun, 2024

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Avita are as mentioned below.
SpecializationLicense NumberStateStatus
Community/Retail Pharmacy PHAO1275AlaskaPrimary
Community/Retail Pharmacy A9-0001259DelawareSecondary
Community/Retail Pharmacy 22-13036KansasSecondary
Community/Retail Pharmacy NRX0000260District Of ColumbiaSecondary
Community/Retail Pharmacy OSP.0006224ColoradoSecondary
Community/Retail Pharmacy PMP854HawaiiSecondary
Community/Retail Pharmacy PA1671KentuckySecondary
Community/Retail Pharmacy 22299MSIdahoSecondary
Community/Retail Pharmacy PCN.0002541ConnecticutSecondary
Community/Retail Pharmacy PH27097FloridaSecondary
Community/Retail Pharmacy 64001499AIndianaSecondary
Community/Retail Pharmacy 4214IowaSecondary
Community/Retail Pharmacy 054.018350IllinoisSecondary
Community/Retail Pharmacy PHNR000016GeorgiaSecondary
Community/Retail Pharmacy 1495CaliforniaSecondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
102811091 0001MedicaidPennsylvania
1386984771MedicaidVirginia
1386984771MedicaidWashington
1386984771MedicaidMinnesota
48076554MedicaidNew Mexico
500689502MedicaidOregon
1386984771MedicaidTennessee
3096207MedicaidNew Hampshire
10026562700MedicaidNebraska
70409100MedicaidMaryland
82828501MedicaidDistrict Of Columbia
1386984771MedicaidMontana
152103MedicaidOhio
2139860OtherPk
7P2344MedicaidSouth Carolina
Medicare Enrollment:
Avita is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID: Enrollment ID: Org NameMedicare Entity Type
3678711769O20130531000191Pharmblue LlcPART B SUPPLIER - OTHER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 10604 Coursey Blvd,
Baton Rouge, Louisiana
Zip: 70816-4015
Phone Number: 469-592-2011
Fax Number: --
Patients can reach Avita at 1226 Chestnut St, Philadelphia, Pennsylvania or can call on customer care at 855-779-4720.

Comments/ Reviews:


*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.

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