NPIMap

Organization Active NPI

Asante Health Systems, Inc.

Doing business as Asante Pharmacy

  • Community/Retail Pharmacy
  • Medford, OR
National Provider Identifier
1063458313
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
01330 Issued in OR
Legal business name
ASANTE HEALTH SYSTEMS, INC.
Doing business as
Asante Pharmacy
Practice address
2900 E. Barnett Rd. Ste. 1
Medford, OR 97504-8380
Phone
(541) 789-5850
Fax
(541) 789-3904
NPI assigned
Jun 22, 2006
Last updated
Feb 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Authorized official

Name
Amy R Watson, PHARMDNPI 1639174956
Title
Manager
Phone
(541) 789-5031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 01330 OR Primary
Home Infusion Therapy Pharmacy 3336H0001X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

2900 E. Barnett Rd. Ste. 1
Medford, OR 97504-8380

Mailing address

2900 E. Barnett Rd. Ste. 1
Medford, OR 97504-8380
Phone (541) 789-5850

Other identifiers 1

IdentifierTypeStateIssuer
005862MedicaidOR

Other names 1

  • Asante Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Asante Community Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1063458313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 E. BARNETT RD. STE. 1",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048380",
            "telephone_number": "541-789-5850",
            "fax_number": "541-789-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 E. BARNETT RD. STE. 1",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048380",
            "telephone_number": "541-789-5850",
            "fax_number": "541-789-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASANTE HEALTH SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "541-789-5031",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "01330",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005862",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Asante Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Asante Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.