Individual provider Active NPI

William Berko Assibey Jr., PHARMD

  • Pharmacist
  • Chandler, AZ
National Provider Identifier
1154092096
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S024501 Issued in AZ
Practice address
2555 W Fairview St Ste 104
Chandler, AZ 85224-4708
Phone
(480) 705-6200
NPI assigned
Sep 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S024501 AZ Primary

Addresses

Primary practice location

2555 W Fairview St Ste 104
Chandler, AZ 85224-4708

Mailing address

2555 W Fairview St
Chandler, AZ 85224-4708
Phone (562) 676-7565

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wassibey@optum.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
S024501AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Infusion Services 308, LLC PastSince Sep 28, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1154092096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 W FAIRVIEW ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244708",
            "telephone_number": "562-676-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 W FAIRVIEW ST STE 104",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244708",
            "telephone_number": "480-705-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSIBEY",
        "first_name": "WILLIAM",
        "middle_name": "BERKO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S024501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wassibey@optum.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2555 W Fairview St Ste 104",
            "city": "Chandler",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852244708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.