Avita Drugs Mississippi, LLC
NPI 1013576826 · Community/Retail Pharmacy · Jackson, MS
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Avita Drugs Mississippi, LLC is a Community/Retail Pharmacy organization in Jackson, MS (NPI 1013576826).
Provider details
- NPI number
- 1013576826
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Ashley Ellis, Corporate Counsel(803) 254-5884
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Avita Pharmacy
Registry dates
- Enumerated
- 2019-06-06
- Last updated
- 2019-06-06
Frequently asked questions
- What is Avita Drugs Mississippi, LLC's NPI number?
- Avita Drugs Mississippi, LLC's National Provider Identifier (NPI) is 1013576826, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Avita Drugs Mississippi, LLC?
- Avita Drugs Mississippi, LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Avita Drugs Mississippi, LLC located?
- Avita Drugs Mississippi, LLC's practice location on file with NPPES is 805 E River Pl Ste a, Jackson, MS 39202-3486.
- What is Avita Drugs Mississippi, LLC's phone number?
- The practice phone number listed in the NPPES registry for Avita Drugs Mississippi, LLC is (601) 336-1760.
- Does Avita Drugs Mississippi, LLC accept Medicare?
- Avita Drugs Mississippi, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Avita Drugs Mississippi, LLC?
- The authorized official listed on Avita Drugs Mississippi, LLC's NPPES record is Ashley Ellis, Corporate Counsel. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Avita Drugs Mississippi, LLC's NPI active?
- Yes — Avita Drugs Mississippi, LLC's NPI (1013576826) is active in the NPPES registry as of the last update on 2019-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.