Active NPI
Ascencion Inc
- Community/Retail Pharmacy
- Los Osos, CA
National Provider Identifier
1366554289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY22201
- Legal business name
- ASCENCION INC
- Practice address
- 989 Los Osos Valley Rd
Los Osos, CA 93402-3205 - Phone
- (805) 528-1017
- Fax
- (805) 528-1915
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary Tewell
- Title
- President
- Phone
- (805) 528-1017
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY22201 | CA | Primary |
Addresses
Primary practice location
989 Los Osos Valley Rd
Los Osos, CA 93402-3205
Mailing address
989 Los Osos Valley Rd
Los Osos, CA 93402-3205
Phone (805) 528-1017
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA206500 | Medicaid | CA | |
| 2115987 | Other | PK |
Other names 1
- LOS OSOS REXALL DRUG STORE
National Provider Directory
National Provider DirectoryLocations
989 Los Osos Valley Rd
Los Osos, CA 93402
Phone (805) 528-1017
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Los Osos, CA
- NPI 1386615474
-
- Pharmacist
- Los Osos, CA
- NPI 1346494317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467072000000",
"number": "1366554289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "989 LOS OSOS VALLEY RD",
"city": "LOS OSOS",
"state": "CA",
"postal_code": "934023205",
"telephone_number": "805-528-1017",
"fax_number": "805-528-1915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "989 LOS OSOS VALLEY RD",
"city": "LOS OSOS",
"state": "CA",
"postal_code": "934023205",
"telephone_number": "805-528-1017",
"fax_number": "805-528-1915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASCENCION INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2016-06-28",
"status": "A",
"authorized_official_last_name": "TEWELL",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "805-528-1017"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY22201",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA206500",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2115987",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LOS OSOS REXALL DRUG STORE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Osos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.