Active NPI
Ap Assets Corporation
Doing business as Rancho Springs Outpatient Pharmacy
- Community/Retail Pharmacy
- Murrieta, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY51909
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Kim
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639496961 | Medicaid | CA | |
| 2148410 | Other | PK |
Other names 1
- Rancho Springs Outpatient Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Pharmacist
- Murrieta, CA
- NPI 1689252389
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.