Provider Demographics
NPI:1942604376
Name:NAVYA HEALTH LLC
Entity Type:Organization
Organization Name:NAVYA HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GAURAV
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHATMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-228-8929
Mailing Address - Street 1:659 NE US HIGHWAY 19 UNIT 2
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL RIVER
Mailing Address - State:FL
Mailing Address - Zip Code:34429-4240
Mailing Address - Country:US
Mailing Address - Phone:352-228-8929
Mailing Address - Fax:
Practice Address - Street 1:659 NE US HIGHWAY 19 UNIT 2
Practice Address - Street 2:
Practice Address - City:CRYSTAL RIVER
Practice Address - State:FL
Practice Address - Zip Code:34429-4240
Practice Address - Country:US
Practice Address - Phone:352-228-8929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-14
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH286293336C0003X, 3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy