Organization
ANOVORX GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON PETERS (MANAGING MEMBER/PRESIDENT)
(901) 201-5484
Entity
Organization
Contact information
Practice address
1710 SHELBY OAKS DR N, SUITE 1, MEMPHIS, TN 38134-7403
(901) 201-5470
(901) 201-5465
Mailing address
1710 SHELBY OAKS DR N, SUITE 2, MEMPHIS, TN 38134-7403
(901) 201-5470
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
054.018178
IL
3336S0011X
Specialty Pharmacy
Primary
1314
AK
3336S0011X
Specialty Pharmacy
22-13044
KS
3336S0011X
Specialty Pharmacy
34084MS
ID
3336S0011X
Specialty Pharmacy
4155
IA
3336S0011X
Specialty Pharmacy
64001473A
IN
3336S0011X
Specialty Pharmacy
A9-0001296
DE
3336S0011X
Specialty Pharmacy
NRP1461
CA
3336S0011X
Specialty Pharmacy
NRX0000453
DC
3336S0011X
Specialty Pharmacy
OSP.0006189
CO
3336S0011X
Specialty Pharmacy
PCN.0002570
CT
3336S0011X
Specialty Pharmacy
PH27151
FL
3336S0011X
Specialty Pharmacy
PHNR000415
GA
3336S0011X
Specialty Pharmacy
PMP.833
HI
3336S0011X
Specialty Pharmacy
Y005790
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003145840A
—
GA
05
—
00320857
—
MS
05
—
0135576-00
—
FL
05
—
03871258
—
NY
05
—
0422371
—
NJ
05
—
07172541
—
NM
05
—
079196200
—
MD
05
—
100263994-00
—
NE
05
—
1023188
—
VT
05
—
102865913-0001
—
PA
05
—
110099495A
—
MA
05
—
141805000
—
WY
05
—
1466034
—
ND
05
—
1532157
—
TN
05
—
161796
—
AL
05
—
1619213212
—
CA
05
—
1619213212
—
CT
05
—
1619213212
—
DE
05
—
1619213212
—
IA
05
—
1619213212
—
ID
05
—
1619213212
—
ME
05
—
1619213212
—
MI
05
—
1619213212
—
MN
05
—
1619213212
—
MO
05
—
1619213212
—
MT
05
—
1619213212
—
NC
05
—
1619213212
—
NV
05
—
1619213212
—
OH
05
—
1619213212
—
RI
05
—
1619213212
—
TX
05
—
1619213212
—
UT
05
—
1619213212
—
VA
05
—
1619213212
—
WA
05
—
1619213212
—
WI
05
—
1619213212
—
WV
05
—
200528380A
—
OK
05
—
201094140A
—
KS
05
—
201202520A
—
IN
05
—
202561407
—
AR
01
—
2138743
PK
—
05
—
2202936
—
LA
05
—
3095937
—
NH
05
—
500671090
—
OR
05
—
7100293170
—
KY
05
—
7T5129
—
SC
05
—
897946
—
AZ
05
—
92003354
—
CO
Enumeration date
12/31/2012
Last updated
11/28/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us