Asr Health Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ASR HEALTH INC.

Doing business as

Queens Pharmacy

Practice address

18522 US Highway 18
Ste 103
Apple Valley, CA 92307-2321

Phone

(760) 946-4700

Fax

(760) 946-1901

NPI assigned

Nov 13, 2007

Last updated

Oct 27, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Srinvasa Rao Kandru

Title

Director

Phone

(760) 946-4700

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• QUEENS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Asr Health Inc.

  dba Queens Pharmacy

  • Community/Retail Pharmacy
  • Victorville, CA
  • NPI 1801879291

  O20210122002527

  Same enrollment

Tax ID family

Asr Health Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Asr Health Inc.

  dba Queens Pharmacy

  • Long Term Care Pharmacy
  • Victorville, CA
  • NPI 1518585587
  NPD tax ID
• Asr Health Inc.

  dba Queens Pharmacy

  • Community/Retail Pharmacy
  • Victorville, CA
  • NPI 1801879291
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1023298676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12677 HESPERIA ROAD",
            "address_2": "SUITE 180",
            "city": "VICTORYVILLE",
            "state": "CA",
            "postal_code": "92395",
            "telephone_number": "760-962-1200",
            "fax_number": "760-962-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18522 US HIGHWAY 18",
            "address_2": "STE 103",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072321",
            "telephone_number": "760-946-4700",
            "fax_number": "760-946-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASR HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "KANDRU",
        "authorized_official_first_name": "SRINVASA",
        "authorized_official_middle_name": "RAO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "760-946-4700"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2112986",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY57282",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUEENS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "QUEENS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.