AVITA DRUGS
NPI 1790014124
Pharmacy - Community/Retail Pharmacy in Dallas, TX

Active since December 14, 2009
750 FORT WORTH AVE STE H100, DALLAS, TX 75208(214) 943-5187(972) 807-2657 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avita Drugs NPPES

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

AVITA DRUGS (NPI 1790014124) is a healthcare organization registered as a community/retail pharmacy in Dallas, Texas and active in the NPI registry since December 2009. The organization lists Carl Colquitt, Cfo, as its authorized official.

NPPES Registry Identity

NPI1790014124
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business Name340B PARTNERS PHARMACY - DALLAS LLC
Location Address750 FORT WORTH AVE STE H100Dallas, TX 75208-1811
Mailing Address411 Colonial DrBaton Rouge, LA 70806-6506 · (214) 780-0898 · Fax (214) 780-0953
Fax(972) 807-2657
Organization SubpartNo
Authorized OfficialCarl ColquittCfo · (469) 592-2005
Enumeration DateDecember 14, 2009
Last NPPES UpdateOctober 7, 2024
NPPES CertifiedOctober 7, 2024
NPI 1790014124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in TX · 26681
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 ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
750 FORT WORTH AVE STE H100, Dallas, TX 75208

Other Names 1

Doing Business AsAvita Drugs

Other Identifiers 2

Medicaid146086TX
Other4554641Ncpdp Provider Identification Number

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.

Pharmacist
750 FORT WORTH AVE STE H100
DALLAS, TX 75208
Pharmacy (Community/Retail Pharmacy)
750 FORT WORTH AVE STE H100
DALLAS, TX 75208

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 340B Partners Pharmacy - Dallas LLC's NPI number?

The NPI number for 340B Partners Pharmacy - Dallas LLC is 1790014124. It was assigned to this organization in the NPPES registry on December 14, 2009. The provider is doing business as Avita Drugs.

Where is 340B Partners Pharmacy - Dallas LLC located?

340B Partners Pharmacy - Dallas LLC is located at 750 Fort Worth Ave Ste H100, Dallas, TX 75208. The listed phone number is (214) 943-5187.

What is 340B Partners Pharmacy - Dallas LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for 340B Partners Pharmacy - Dallas LLC was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.