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AVITA DRUGS
NPI 1962784900
Pharmacy - Community/Retail Pharmacy in Dallas, TX

Active since September 15, 2011
750 FORT WORTH AVE STE H100, DALLAS, TX 75208(972) 805-5960 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 26, 2020, Jul 19, 2018 (2 updates tracked since 2018).

About Avita Drugs NPPES

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

AVITA DRUGS (NPI 1962784900) is a healthcare organization registered as a community/retail pharmacy in Dallas, Texas and active in the NPI registry since September 2011. The organization maintains a secondary practice location in Dallas and lists Ashley Ellis, Corporate Counsel, as its authorized official.

NPPES Registry Identity

NPI1962784900
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business Name340B PARTNERS PHARMACY - DALLAS LLC
Location Address750 FORT WORTH AVE STE H100Dallas, TX 75208-1811
Mailing Address10604 Coursey BlvdBaton Rouge, LA 70816 · (225) 924-1930 · Fax (225) 924-3217
Phone(972) 805-5960
Organization SubpartNo
Authorized OfficialAshley EllisCorporate Counsel · (803) 254-5884
Enumeration DateSeptember 15, 2011
Last NPPES UpdateOctober 26, 20202 updates tracked since enumeration
NPPES CertifiedOctober 26, 2020
✔ NPI 1962784900 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 · 27717
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 ListedPharmacyTaxonomy 333600000X
750 FORT WORTH AVE STE H100, Dallas, TX 75208
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Other Names 1

Doing Business AsAvita Drugs

Secondary Practice Location 1

Location 1219 Sunset Ave Ste 118ADallas, TX 75208-4500 · Phone (214) 943-5187 · Fax (972) 807-2657

Other Identifiers 2

Medicaid148897TX
Other2131953Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Avita Pharmacy 1028 carries, from the Medicare DMEPOS supplier directory.

Avita Pharmacy 1028

DMEPOS supplier · Dallas, TXOperated by 340B Partners Pharmacy - Dallas LLC
⋮

Does not accept Medicare assignment

Avita Pharmacy 1028 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20532167
Medicare Participant SinceJanuary 18, 2011
Supplier Location750 Fort Worth Ave Ste H100Dallas, TX 75208
Phone(214) 943-5187
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 2

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

MS. DEBORAH M OLAY RPH
Pharmacist
750 FORT WORTH AVE STE H100
DALLAS, TX 75208
Dallas County (214) 943-5187
340B PARTNERS PHARMACY - DALLAS LLC
Pharmacy (Community/Retail Pharmacy)
750 FORT WORTH AVE STE H100
DALLAS, TX 75208
Dallas County (214) 943-5187

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 1962784900. It was assigned to this organization in the NPPES registry on September 15, 2011. 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 (972) 805-5960.

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.

Does 340B Partners Pharmacy - Dallas LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Avita Pharmacy 1028 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does 340B Partners Pharmacy - Dallas 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 57 other insurers list 340B Partners Pharmacy - Dallas 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 340B Partners Pharmacy - Dallas LLC was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.