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
- Title
- President
- Phone
- (323) 728-8127
Practitioners 4
-
Shushma Patel, R.PH.,MBA
-
Edwin Anthony Bermudez Barron, PHARM.D.
-
Kavita Jain, PHARM D
-
Marianne Rosita Shah, CPHT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA510810 | Medicaid | CA | |
| 2137995 | Other | PK |
Other names
- The Prescription Shop
NPI Registry JSON
{
"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
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- Crystal Lynn Camonayan Arteaga
- Rene Nickholas Arteaga
- Artemis Medical Center Inc
- Artur Stepanyan
- Aspire RX Inc
- Atlantic Recovery Services
- Atlantic Recovery Services
- Atlantic Recovery Services
- Atlantic Recovery Services
All providers in Montebello, CA · Community/Retail Pharmacy in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.