AVITA PHARMACY 1066
NPI 1740859024
Pharmacy - Community/Retail Pharmacy in Wilton Manors, FL

Active since June 22, 2021
1409 NE 26TH ST, WILTON MANORS, FL 33305(954) 302-8170(833) 884-0064 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2022, Jun 22, 2021 (2 updates tracked since 2021).

About Avita Pharmacy 1066 NPPES

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

AVITA PHARMACY 1066 (NPI 1740859024) is a healthcare organization registered as a community/retail pharmacy in Wilton Manors, Florida and active in the NPI registry since June 2021. The organization lists Ryan Boyle, Regulatory Counsel, as its authorized official.

NPPES Registry Identity

NPI1740859024
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameAVITA DRUGS FLORIDA, LLC
Location Address1409 NE 26TH STWilton Manors, FL 33305-1321
Mailing Address10604 Coursey BlvdBaton Rouge, LA 70816-4015 · (225) 236-1541
Fax(833) 884-0064
Organization SubpartNo
Authorized OfficialRyan BoyleRegulatory Counsel · (225) 236-1538
Enumeration DateJune 22, 2021
Last NPPES UpdateMarch 8, 20222 updates tracked since enumeration
NPPES CertifiedMarch 8, 2022
NPI 1740859024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1409 NE 26TH ST, Wilton Manors, FL 33305

Other Names 1

Doing Business AsAvita Pharmacy 1066

Other Identifiers 1

OtherPH33465FL · Board Of Pharmacy

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Pharmacy (Community/Retail Pharmacy)
1409 NE 26TH ST
WILTON MANORS, FL 33305
Pharmacy (Specialty Pharmacy)
1409 NE 26TH ST
WILTON MANORS, FL 33305

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 Avita Drugs Florida, LLC's NPI number?

The NPI number for Avita Drugs Florida, LLC is 1740859024. It was assigned to this organization in the NPPES registry on June 22, 2021. The provider is doing business as Avita Pharmacy 1066.

Where is Avita Drugs Florida, LLC located?

Avita Drugs Florida, LLC is located at 1409 NE 26th St, Wilton Manors, FL 33305. The listed phone number is (954) 302-8170.

What is Avita Drugs Florida, LLC's specialty?

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

What insurance does Avita Drugs Florida, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Avita Drugs Florida, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Avita Drugs Florida, LLC was last updated on March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.