Ansel Avila
Pharmacist in Jacksonville, FL. Individual provider (NPI-1).
NPI number1982209466
StatusActive
Last updated in NPPESDec 2, 2020
Details
- NPI
- 1982209466
- Entity type
- Individual (NPI-1)
- Name
- Ansel Avila
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 2, 2020
- Certification date
- Nov 28, 2020
- Last updated
- Dec 2, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PS61242 | FL | Yes |
Practice location
5999 Normandy BlvdJacksonville, FL 32205-6265
Phone 904-786-2148
Mailing address
159 Sentosa Dr Unit 207St Johns, FL 32259-9192
Phone 714-876-8423
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