Av Pharma LLC

Mail Order Pharmacy · Jacksonville, FL

Organization Active NPI

NPI number 1316592538

Practice location

1545 University Blvd N Ste B
Jacksonville, FL 32211-5229
Phone
(877) 811-1129
Fax
(855) 811-3423

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NPI record

NPI
1316592538
Entity type
Organization (Type 2)
Enumeration date
August 5, 2019
Last updated
December 15, 2025
Certified
December 15, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Mail Order Pharmacy Primary 3336M0002X — —

Mailing address

PO Box 600047
Jacksonville, FL 32260-0047
Phone
(877) 811-1129
Fax
(855) 811-3423

Authorized official

Name
Vipul Mamtora
Title
Director
Phone
(877) 811-1129

Other names

  • Foursquare RX Hub

About Av Pharma LLC

Av Pharma LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Mail Order Pharmacy (code 3336M0002X). The practice location is 1545 University Blvd N Ste B, Jacksonville, FL 32211-5229. The NPI number 1316592538 was assigned on August 5, 2019 and the record was last updated on December 15, 2025.

The authorized official for this organization is Vipul Mamtora, Director.

Frequently asked questions

What is the NPI number of Av Pharma LLC?

The NPI number is 1316592538.

What is the phone number of Av Pharma LLC?

The phone number listed for the practice location is (877) 811-1129.

Where is Av Pharma LLC located?

1545 University Blvd N Ste B, Jacksonville, FL 32211-5229.

What is the taxonomy code for Av Pharma LLC?

The primary taxonomy code is 3336M0002X – Mail Order Pharmacy.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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