Organization Active NPI

Ascendant Pharmacy Incorporated

  • Long Term Care Pharmacy
  • San Diego, CA
National Provider Identifier
1689454605
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ASCENDANT PHARMACY INCORPORATED
Practice address
8125 Ronson Rd Ste G
San Diego, CA 92111-2010
Phone
(858) 987-1020
Fax
(858) 987-1022
NPI assigned
Oct 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Authorized official

Name
Mr. Gavin Jo Lee
Title
Founder and Ceo
Phone
(858) 775-1827

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

8125 Ronson Rd Ste G
San Diego, CA 92111-2010

Mailing address

8125 Ronson Rd Ste G
San Diego, CA 92111-2010
Phone (858) 987-1020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240103002336 CA Part B Supplier - Pharmacy 8022468099 Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

8125 Ronson Rd
Ste G
San Diego, CA 92111
Phone (858) 987-1020

NPI Registry JSON

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1689454605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8125 RONSON RD STE G",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112010",
            "telephone_number": "858-987-1020",
            "fax_number": "858-987-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8125 RONSON RD STE G",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112010",
            "telephone_number": "858-987-1020",
            "fax_number": "858-987-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENDANT PHARMACY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GAVIN",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "FOUNDER AND CEO",
        "authorized_official_telephone_number": "858-775-1827",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.