AV PHARMA LLC NPI 1184003311

NPI Information

  • NPI: 1184003311
  • Provider Name: AV PHARMA LLC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: CITIZEN PHARMACY
  • CLIA Number: 10D2135359
  • Address: 1545 UNIVERSITY BLVD N
    JACKSONVILLE, FL
    ZIP 32211
  • Phone: (844) 224-8493

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NPI Details

AV PHARMA LLC is a pharmacy in Jacksonville, FL. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. AV PHARMA LLC NPI is 1184003311. The provider is registered as an organization entity type.
The provider Is Doing Business As Citizen Pharmacy.

The provider's business location address is:

1545 UNIVERSITY BLVD N
JACKSONVILLE, FL
ZIP 32211-229
Phone: (844) 224-8493
Fax: (844) 324-8493

The provider's authorized official is Vipul B Mamtora .
The authorized official title is Mbr Mgr and has the following contact phone number (844) 224-8493.

The CLIA number assigned to this NPI record is 10D2135359 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2015 and was last updated on 5/20/2015.

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
1332B00000XDurable Medical Equipment & Medical SuppliesPH27581FLORIDANo
23336S0011XPharmacySpecialty PharmacyPH27581FLORIDANo
3333600000XPharmacyPH27581FLORIDAYes

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: 11/21/2025

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