Organization Active NPI

Asencio Pharmacy Inc

  • Pharmacy
  • Bronx, NY
National Provider Identifier
1700872264
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
020822 Issued in NY
Legal business name
ASENCIO PHARMACY INC
Practice address
154 E 174TH St
Bronx, NY 10457-6904
Phone
(718) 299-2416
Fax
(718) 299-5176
NPI assigned
Sep 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Mr. David Asencio, RPHNPI 1285863951
Title
Supervising Pharmacist
Phone
(718) 299-2416

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 020822 NY Primary

Addresses

Primary practice location

154 E 174TH St
Bronx, NY 10457-6904

Mailing address

154 E 174TH St
Bronx, NY 10457-6904
Phone (718) 299-2416

Other identifiers 1

IdentifierTypeStateIssuer
01215127MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930040612 NY DME Supplier - Pharmacy 3375664378 Practice locations: Bronx, NY
O20210108002260 NY Part B Supplier - Mass Immunization (Roster Biller Only) 3375664378 Practice locations: Bronx, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Asencio Pharmacy Inc154 E 174TH St, Bronx, NY 10457-6904(718) 299-2416 Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

154 E 174th St
Bronx, NY 10457
Phone (718) 299-2416

Practitioners & affiliated clinicians

Practitioners 2

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": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1700872264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 E 174TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104576904",
            "telephone_number": "718-299-2416",
            "fax_number": "718-299-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 E 174TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104576904",
            "telephone_number": "718-299-2416",
            "fax_number": "718-299-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASENCIO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "ASENCIO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-299-2416",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "020822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01215127",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.