AVITA PHARMACY 1001
NPI 1891107066
Pharmacy in Los Angeles, CA

Active since May 22, 2014
522 S SAN PEDRO ST, LOS ANGELES, CA 90013(213) 443-8627(213) 627-4011 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2023, Jul 19, 2022, May 11, 2021 (3 updates tracked since 2021).

About Avita Pharmacy 1001 NPPES

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

AVITA PHARMACY 1001 (NPI 1891107066) is a healthcare organization registered as a pharmacy in Los Angeles, California and active in the NPI registry since May 2014. The organization lists Dalila Ibarra, Licensing & Credentialing Coordinat, as its authorized official.

NPPES Registry Identity

NPI1891107066
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePHARMEDQUEST PHARMACY SERVICES
Location Address522 S SAN PEDRO STLos Angeles, CA 90013-2102
Mailing Address10604 Coursey BlvdBaton Rouge, LA 70816-4015 · (657) 286-7957 · Fax (714) 599-8242
Fax(213) 627-4011
Organization SubpartNo
Authorized OfficialDalila IbarraLicensing & Credentialing Coordinat · (657) 286-7957
Enumeration DateMay 22, 2014
Last NPPES UpdateSeptember 12, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2023
NPI 1891107066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in CA · 51788
Definition
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.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
522 S SAN PEDRO ST, Los Angeles, CA 90013

Other Names 1

Doing Business AsAvita Pharmacy 1001

Other Identifiers 1

Medicaid1891107066CA

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
522 S SAN PEDRO ST
LOS ANGELES, CA 90013
Psychologist
522 S SAN PEDRO ST
LOS ANGELES, CA 90013
Student in an Organized Health Care Education/Training Program
522 S SAN PEDRO ST
LOS ANGELES, CA 90013
Family Medicine
522 S SAN PEDRO ST
LOS ANGELES, CA 90013
Counselor (Mental Health)
522 S SAN PEDRO ST
LOS ANGELES, CA 90013
Dentist
522 S SAN PEDRO ST
LOS ANGELES, CA 90013
Nurse Practitioner
522 S SAN PEDRO ST
LOS ANGELES, CA 90013
Clinic/Center (Federally Qualified Health Center (FQHC))
522 S SAN PEDRO ST
LOS ANGELES, CA 90013

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 Pharmedquest Pharmacy Services's NPI number?

The NPI number for Pharmedquest Pharmacy Services is 1891107066. It was assigned to this organization in the NPPES registry on May 22, 2014. The provider is doing business as Avita Pharmacy 1001.

Where is Pharmedquest Pharmacy Services located?

Pharmedquest Pharmacy Services is located at 522 S San Pedro St, Los Angeles, CA 90013. The listed phone number is (213) 443-8627.

What is Pharmedquest Pharmacy Services's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

What insurance does Pharmedquest Pharmacy Services 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 49 other insurers list Pharmedquest Pharmacy Services 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 Pharmedquest Pharmacy Services was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.