Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AV PHARMA LLC
NPI 1033870209
Pharmacy - Community/Retail Pharmacy in Jacksonville, FL

Active since January 10, 2022
1545 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211(904) 619-3776(844) 324-8493 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2026, Dec 15, 2025, Jan 10, 2022 (3 updates tracked since 2022).

About Av Pharma Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AV PHARMA LLC (NPI 1033870209) is a healthcare organization registered as a community/retail pharmacy in Jacksonville, Florida and active in the NPI registry since January 2022. The organization lists Vipul B Mamtora, Director, as its authorized official.

NPPES Registry Identity

NPI1033870209
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameAV PHARMA LLC
Location Address1545 UNIVERSITY BLVD NJacksonville, FL 32211-5229
Mailing AddressPo Box 600047Jacksonville, FL 32260-0047 · (904) 619-3776 · Fax (844) 324-8493
Fax(844) 324-8493
Organization SubpartNo
Authorized OfficialVipul B MamtoraDirector · (844) 224-8493
Enumeration DateJanuary 10, 2022
Last NPPES UpdateAugust 4, 20263 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
NPI 1033870209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
1545 UNIVERSITY BLVD N, Jacksonville, FL 32211

Other Identifiers 1

Medicaid117117700FL

Medical Equipment Supplier Medicare DMEPOS 22

Medicare supplier enrollment and the product categories Av Pharma LLC carries, from the Medicare DMEPOS supplier directory.

Av Pharma LLC

DMEPOS supplier · Jacksonville, FL

Accepts Medicare assignment

Av Pharma LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20421791
Medicare Participant SinceMarch 28, 2019
Supplier Location1545 University Blvd NJacksonville, FL 32211
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy
1545 UNIVERSITY BLVD N
JACKSONVILLE, FL 32211
Pharmacist
1545 UNIVERSITY BLVD N
JACKSONVILLE, FL 32211
Pharmacist
1545 UNIVERSITY BLVD N
JACKSONVILLE, FL 32211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Av Pharma LLC's NPI number?

The NPI number for Av Pharma LLC is 1033870209. It was assigned to this organization in the NPPES registry on January 10, 2022.

Where is Av Pharma LLC located?

Av Pharma LLC is located at 1545 University Blvd N, Jacksonville, FL 32211. The listed phone number is (904) 619-3776.

What is Av Pharma LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Av Pharma LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Av Pharma LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Av Pharma LLC was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.