Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pharmblue LLC

Organization Community/Retail Pharmacy · NPI 1386984771

Pharmblue LLC is a Community/Retail Pharmacy in Philadelphia, Pennsylvania. Licensed in Alaska, California, Colorado and Connecticut and 11 more. Registered with an NPI since 2013.

Licensed in
AK, CA, CO, CT, DC, DE
In the registry since
2013
Specialties on file
15
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1226 Chestnut St
Philadelphia, PA 19107-4849
Phone: (855) 779-4720
Fax: (558) 779-4721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHAO1275 (AK)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence A9-0001259 (DE)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 22-13036 (KS)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence NRX0000260 (DC)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence OSP.0006224 (CO)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence PMP854 (HI)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence PA1671 (KY)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 22299MS (ID)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence PCN.0002541 (CT)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence PH27097 (FL)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 64001499A (IN)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 4214 (IA)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 054.018350 (IL)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence PHNR000016 (GA)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 1495 (CA)

Record details

NPI number1386984771
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Colquitt — Chief Financial Officer · (469) 850-6930
Other names Avita; Avita; Avita Pharmacy 1059; Pharmblue Llc
NPI enumeratedFebruary 21, 2013
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025
Mailing address10604 Coursey Blvd, Baton Rouge, LA 70816-4015

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