Avita is an authorized DME supplier for medicare equipments and products.
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.
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.
Specialization
License Number
State
Status
Community/Retail Pharmacy
PHAO1275
Alaska
Primary
Community/Retail Pharmacy
A9-0001259
Delaware
Secondary
Community/Retail Pharmacy
22-13036
Kansas
Secondary
Community/Retail Pharmacy
NRX0000260
District Of Columbia
Secondary
Community/Retail Pharmacy
OSP.0006224
Colorado
Secondary
Community/Retail Pharmacy
PMP854
Hawaii
Secondary
Community/Retail Pharmacy
PA1671
Kentucky
Secondary
Community/Retail Pharmacy
22299MS
Idaho
Secondary
Community/Retail Pharmacy
PCN.0002541
Connecticut
Secondary
Community/Retail Pharmacy
PH27097
Florida
Secondary
Community/Retail Pharmacy
64001499A
Indiana
Secondary
Community/Retail Pharmacy
4214
Iowa
Secondary
Community/Retail Pharmacy
054.018350
Illinois
Secondary
Community/Retail Pharmacy
PHNR000016
Georgia
Secondary
Community/Retail Pharmacy
1495
California
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
102811091 0001
Medicaid
Pennsylvania
1386984771
Medicaid
Virginia
1386984771
Medicaid
Washington
1386984771
Medicaid
Minnesota
48076554
Medicaid
New Mexico
500689502
Medicaid
Oregon
1386984771
Medicaid
Tennessee
3096207
Medicaid
New Hampshire
10026562700
Medicaid
Nebraska
70409100
Medicaid
Maryland
82828501
Medicaid
District Of Columbia
1386984771
Medicaid
Montana
152103
Medicaid
Ohio
2139860
Other
Pk
7P2344
Medicaid
South 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 Name
Medicare Entity Type
3678711769
O20130531000191
Pharmblue Llc
PART 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.
Other Pharmacies in Philadelphia, Pennsylvania
Ema Care Pharmacy Speciality:Pharmacy Address: 6433 Rising Sun Ave, Philadelphia, PA Phone: 215-745-0202 Fax: 215-745-0808Coordinated Care Network Pharmacy Speciality:Pharmacy Address: 249 S 13th St, Philadelphia, PA Phone: 844-657-6786 Fax: 267-324-3594Odu Pharmacy Speciality:Community/Retail Pharmacy Address: 1618 W Olney Ave, Philadelphia, PA Phone: 267-297-5056 29 Th St Pharmacy Speciality:Community/Retail Pharmacy Address: 2334 N 29th St Fl 1, Philadelphia, PA Phone: 215-309-6866 Fax: 215-309-6865Emax Pharmacy Speciality:Pharmacy Address: 4918 Baltimore Ave, Philadelphia, PA Phone: 267-455-2153 Cvs Pharmacy #02166 Address: 3780 Main St, Philadelphia, PA Phone: 215-508-3607