Aspire RX Inc

Organization Active NPI Community/Retail Pharmacy · Montebello, CA

NPI 1245309962 · NPPES record last updated Oct 27, 2016

Key facts

NPI
1245309962
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
PHY51081 (CA)
Legal business name
ASPIRE RX INC
Practice address
1215 W Whittier Blvd
Montebello, CA 90640-4642
Phone
(323) 728-8127
Fax
(323) 728-4917
NPI assigned
Nov 7, 2006
Organization subpart
No

Authorized official

Name
Shushma Patel, PHARMACY NPI 1104252188
Title
President
Phone
(323) 728-8127

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

Practitioners 4

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20130510000461 CA DME Supplier - Pharmacy 1456598440 Practice locations: Montebello, CA
O20140609001478 CA Part B Supplier - Mass Immunization (Roster Biller Only) 1456598440 Practice locations: Montebello, CA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY51081 CA Yes
Compounding Pharmacy 3336C0004X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

1215 W Whittier Blvd
Montebello, CA 90640-4642

Mailing address

1215 W Whittier Blvd
Montebello, CA 90640-4642
Phone (323) 728-8127

Other identifiers

IdentifierTypeStateIssuer
PHA510810MedicaidCA
2137995OtherPK

Other names

  • The Prescription Shop Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 27, 2016.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1245309962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404642",
            "telephone_number": "323-728-8127",
            "fax_number": "323-728-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404642",
            "telephone_number": "323-728-8127",
            "fax_number": "323-728-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHUSHMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-728-8127",
        "authorized_official_credential": "PHARMACY"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY51081",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding 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": "PHA510810",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137995",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Prescription Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montebello, CA

All providers in Montebello, CA · Community/Retail Pharmacy in California

Sources for this page

Verify at the official NPI Registry.