ANOVORX GROUP LLC NPI 1619213212

NPI Information

NPI: 1619213212
Provider Name: ANOVORX GROUP LLC
Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

Address:
1710 SHELBY OAKS DR N
SUITE 1
MEMPHIS, TN
ZIP 38134
Phone: (901) 201-5470
Get Directions

ANOVORX GROUP LLC is a specialty pharmacy pharmacy in Memphis, TN. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. ANOVORX GROUP LLC NPI is 1619213212. The provider is registered as an organization entity type.

The provider's business location address is:

1710 SHELBY OAKS DR N
SUITE 1
MEMPHIS, TN
ZIP 38134-403
Phone: (901) 201-5470
Fax: (901) 201-5465

The provider's authorized official is Jon Peters .
The authorized official title is Managing Member/president and has the following contact phone number (901) 201-5484.

The enumeration date for this NPI number is 12/31/2012 and was last updated on 11/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336S0011X	Pharmacy	Specialty Pharmacy	34084MS	IDAHO	No
2	3336S0011X	Pharmacy	Specialty Pharmacy	PHNR000415	GEORGIA	No
3	3336S0011X	Pharmacy	Specialty Pharmacy	4155	IOWA	No
4	3336S0011X	Pharmacy	Specialty Pharmacy	NRP1461	CALIFORNIA	No
5	3336S0011X	Pharmacy	Specialty Pharmacy	PH27151	FLORIDA	No
6	3336S0011X	Pharmacy	Specialty Pharmacy	PCN.0002570	CONNECTICUT	No
7	3336S0011X	Pharmacy	Specialty Pharmacy	OSP.0006189	COLORADO	No
8	3336S0011X	Pharmacy	Specialty Pharmacy	PMP.833	HAWAII	No
9	3336S0011X	Pharmacy	Specialty Pharmacy	Y005790	ARIZONA	No
10	3336S0011X	Pharmacy	Specialty Pharmacy	A9-0001296	DELAWARE	No
11	3336S0011X	Pharmacy	Specialty Pharmacy	64001473A	INDIANA	No
12	3336S0011X	Pharmacy	Specialty Pharmacy	054.018178	ILLINOIS	No
13	3336S0011X	Pharmacy	Specialty Pharmacy	1314	ALASKA	Yes
14	3336S0011X	Pharmacy	Specialty Pharmacy	22-13044	KANSAS	No
15	3336S0011X	Pharmacy	Specialty Pharmacy	NRX0000453	DISTRICT OF COLUMBIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	079196200	MEDICAID	MARYLAND
2	110099495A	MEDICAID	MASSACHUSETTS
3	03871258	MEDICAID	NEW YORK
4	1619213212	MEDICAID	OHIO
5	1619213212	MEDICAID	UTAH
6	1619213212	MEDICAID	DELAWARE
7	92003354	MEDICAID	COLORADO
8	1619213212	MEDICAID	NEVADA
9	1619213212	MEDICAID	IDAHO
10	1619213212	MEDICAID	MICHIGAN
11	1619213212	MEDICAID	NORTH CAROLINA
12	1619213212	MEDICAID	WASHINGTON
13	1619213212	MEDICAID	CONNECTICUT
14	1023188	MEDICAID	VERMONT
15	141805000	MEDICAID	WYOMING
16	1466034	MEDICAID	NORTH DAKOTA
17	1619213212	MEDICAID	MONTANA
18	3095937	MEDICAID	NEW HAMPSHIRE
19	500671090	MEDICAID	OREGON
20	7100293170	MEDICAID	KENTUCKY
21	897946	MEDICAID	ARIZONA
22	0135576-00	MEDICAID	FLORIDA
23	161796	MEDICAID	ALABAMA
24	1619213212	MEDICAID	WISCONSIN
25	1619213212	MEDICAID	CALIFORNIA
26	1619213212	MEDICAID	VIRGINIA
27	200528380A	MEDICAID	OKLAHOMA
28	201094140A	MEDICAID	KANSAS
29	003145840A	MEDICAID	GEORGIA
30	1619213212	MEDICAID	TEXAS
31	1619213212	MEDICAID	MISSOURI
32	1619213212	MEDICAID	RHODE ISLAND
33	00320857	MEDICAID	MISSISSIPPI
34	0422371	MEDICAID	NEW JERSEY
35	1619213212	MEDICAID	WEST VIRGINIA
36	1619213212	MEDICAID	MAINE
37	1619213212	MEDICAID	IOWA
38	1619213212	MEDICAID	MINNESOTA
39	2202936	MEDICAID	LOUISIANA
40	102865913-0001	MEDICAID	PENNSYLVANIA
41	202561407	MEDICAID	ARKANSAS
42	2138743	OTHER		PK
43	7T5129	MEDICAID	SOUTH CAROLINA
44	100263994-00	MEDICAID	NEBRASKA
45	07172541	MEDICAID	NEW MEXICO
46	1532157	MEDICAID	TENNESSEE
47	201202520A	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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