Avita Drugs LLC
NPI 1780234567ActiveOrganization· Pharmacy· Lake Charles, LA
Pharmacy in Lake Charles, Louisiana, registered in NPPES in September 2019. The authorized official on file is Ashley Ellis, Corporate Coubsel. Enrolled in Medicare as part b supplier - pharmacy.
Overview
| NPI | 1780234567 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 13, 2019 |
| Last updated in NPPES | Feb 14, 2020 |
| Certified by provider | Feb 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Pharmacy (LA) |
|---|
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