Organization Active NPI

Ap Assets Corporation

Doing business as Rancho Springs Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Murrieta, CA
National Provider Identifier
1639496961
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY51909 Issued in CA
Legal business name
AP ASSETS CORPORATION
Doing business as
Rancho Springs Outpatient Pharmacy
Practice address
25485 Medical Center Dr Ste 110
Murrieta, CA 92562-6927
Phone
(951) 698-4505
Fax
(951) 698-4506
NPI assigned
Apr 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
Paul KimNPI 1689252389
Title
Ceo / Pic
Phone
(951) 698-4505

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY51909 CA Primary

Addresses

Primary practice location

25485 Medical Center Dr Ste 110
Murrieta, CA 92562-6927

Mailing address

25485 Medical Center Dr Ste 110
Murrieta, CA 92562-6927
Phone (951) 698-4505

Other identifiers 2

IdentifierTypeStateIssuer
1639496961MedicaidCA
2148410OtherPK

Other names 1

  • Rancho Springs Outpatient 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
O20210408000426 CA Part B Supplier - Pharmacy 3375950447 Practice locations: Murrieta, CA
O20220926001586 CA Part B Supplier - Independent Clinical Laboratory 3375950447 Practice locations: Murrieta, CA

National Provider Directory

National Provider Directory

Locations

25485 Medical Center Dr
Ste 110
Murrieta, CA 92562
Phone (951) 698-4505

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1639496961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25485 MEDICAL CENTER DR STE 110",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626927",
            "telephone_number": "951-698-4505",
            "fax_number": "951-698-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25485 MEDICAL CENTER DR STE 110",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626927",
            "telephone_number": "951-698-4505",
            "fax_number": "951-698-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AP ASSETS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO / PIC",
        "authorized_official_telephone_number": "951-698-4505"
    },
    "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": "PHY51909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639496961",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148410",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rancho Springs Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.