OrganizationActive
Av Pharma LLC
NPI 1629589908 · Compounding Pharmacy · Jacksonville, FL
Av Pharma LLC is a Compounding Pharmacy organization in Jacksonville, FL (NPI 1629589908).
Provider details
- NPI number
- 1629589908
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Vipul Mamtora, Member Manager(904) 440-0611
Specialties & taxonomies
Suppliers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
1545 University Blvd N Ste C
Jacksonville, FL 32211-5229
Phone: (904) 440-0611
Fax: (904) 323-4083
Street-level locationGet directions
Mailing address
Po Box 600047
Jacksonville, FL 32260-0047
Other names (DBA / former)
- Doing business as
- Citizen Pharmacy # 712
Registry dates
- Enumerated
- 2017-10-13
- Last updated
- 2025-12-15
- Certified
- 2025-12-15
Frequently asked questions
- What is Av Pharma LLC's NPI number?
- Av Pharma LLC's National Provider Identifier (NPI) is 1629589908, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Av Pharma LLC?
- Av Pharma LLC is classified in the NPPES registry as Compounding Pharmacy (Suppliers).
- Where is Av Pharma LLC located?
- Av Pharma LLC's practice location on file with NPPES is 1545 University Blvd N Ste C, Jacksonville, FL 32211-5229.
- What is Av Pharma LLC's phone number?
- The practice phone number listed in the NPPES registry for Av Pharma LLC is (904) 440-0611.
- Who is the authorized official for Av Pharma LLC?
- The authorized official listed on Av Pharma LLC's NPPES record is Vipul Mamtora, Member Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Av Pharma LLC's NPI active?
- Yes — Av Pharma LLC's NPI (1629589908) is active in the NPPES registry as of the last update on 2025-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.