Organization Active NPI

Asap RX Corp

  • Community/Retail Pharmacy
  • Glendale, CA
National Provider Identifier
1083703979
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY 55466 Issued in CA
Legal business name
ASAP RX CORP
Practice address
1340 E Wilson Ave
Glendale, CA 91206-4632
Phone
(818) 543-1800
Fax
(818) 553-1900
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

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

Authorized official

Name
Dr. Vahe Garen Simonian, PHARM. D.NPI 1760132682
Title
Pharmacist
Phone
(818) 543-1800

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 PHY 55466 CA Primary
Long Term Care Pharmacy 3336L0003X PHY 55466 CA
Specialty Pharmacy 3336S0011X PHY 55466 CA

Addresses

Primary practice location

1340 E Wilson Ave
Glendale, CA 91206-4632

Mailing address

1340 E Wilson Ave
Glendale, CA 91206-4632
Phone (818) 543-1800

Other identifiers 3

IdentifierTypeStateIssuer
5560280001OtherCAMEDICARE PTAN PROVIDER
5614690OtherCANCPDP OR NABP
PHY 55466OtherCACALIFORNIA STATE BOARD OF PHARMACY

Other names 1

  • ASAP Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110802000072 CA DME Supplier - Pharmacy 3072782424 Practice locations: Glendale, CA
O20220117000227 CA Part B Supplier - Pharmacy 3072782424 Practice locations: Glendale, CA

National Provider Directory

National Provider Directory
Tax ID family
Asap Pharmacy2 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.

Locations

367 N Chevy Chase Dr
Ste B
Glendale, CA 91206
Phone (818) 543-1800

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640908800000",
    "number": "1083703979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 E WILSON AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064632",
            "telephone_number": "818-543-1800",
            "fax_number": "818-553-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 E WILSON AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064632",
            "telephone_number": "818-543-1800",
            "fax_number": "818-553-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASAP RX CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A",
        "authorized_official_last_name": "SIMONIAN",
        "authorized_official_first_name": "VAHE",
        "authorized_official_middle_name": "GAREN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "818-543-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 55466",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY 55466",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CA",
            "license": "PHY 55466",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN PROVIDER",
            "identifier": "5560280001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP OR NABP",
            "identifier": "5614690",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE BOARD OF PHARMACY",
            "identifier": "PHY 55466",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASAP Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; 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.