Amazon Pharmacy #001

LBN: A.E. Pharmacy, Llc
Amazon Pharmacy #001 is an health care organization with primary practice located at 4500 S Pleasant Valley Road Suite 201, Austin TX 78744-2911. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. A.E. Pharmacy, Llc can be contacted via phone (512) 537-3205, or through Lavin, John M via phone (855) 745-5725.

Contact Information

Primary practice address
4500 S Pleasant Valley Road Suite 201 Austin TX 78744-2911
Phone: (512) 537-3205
Fax: (512) 677-6267
Website:
Map and Directions
Authorized official contact:
Name: Lavin, John M
Phone: (855) 745-5725

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 30875 Texas

Profile Details

NPI number 1285084467
LBN Legal business name A.E. Pharmacy, Llc
DBA Doing business as Amazon Pharmacy #001
Authorized official Lavin, John M
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2016
Last updated Jul 26th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285084467 NPPES
Other 2160596 PK
MEDICAID 78438217 PK
MEDICAID 149572 PK

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