OrganizationActive
Av 1 Pharma LLC
NPI 1912418286 · Community/Retail Pharmacy · East Palatka, FL
Provider details
- NPI number
- 1912418286
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Reena Chadha, Authorized Official(904) 506-0060
Specialties & taxonomies
Suppliers
- Long Term Care Pharmacy3336L0003X
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
164 S US Highway 17 Ste 10
East Palatka, FL 32131-4066
Phone: (904) 506-0060
Fax: (904) 515-5795
Street-level locationGet directions
Mailing address
Po Box 600861
Jacksonville, FL 32260-0861
Other names (DBA / former)
- Doing business as
- Palatka Pharmacy
Registry dates
- Enumerated
- 2017-10-13
- Last updated
- 2023-06-22
- Certified
- 2023-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.