Active NPI
ASC Pharmacy Inc
- Community/Retail Pharmacy
- Hialeah, FL
National Provider Identifier
1770625683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH22490
- Legal business name
- ASC PHARMACY INC
- Practice address
- 3416 W 84TH St
108
Hialeah, FL 33018-4933 - Phone
- (305) 698-5411
- Fax
- (305) 698-5586
- NPI assigned
- Feb 14, 2007
- Last updated
- Mar 7, 2023
- 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
- Ascanio Serna
- Title
- President
- Phone
- (305) 698-5411
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH22490 | FL | Primary |
| Specialty Pharmacy | 3336S0011X | PH22490 | FL | |
| Compounding Pharmacy | 3336C0004X | PH22490 | FL |
Addresses
Primary practice location
3416 W 84TH St
108
Hialeah, FL 33018-4933
Mailing address
3416 W 84TH St
108
Hialeah, FL 33018-4933
Phone (305) 698-5411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013516900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba ASC Specialty Pharmacy
- Home Infusion Therapy Pharmacy
- Hialeah, FL
- NPI 1841692464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1770625683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3416 W 84TH ST",
"address_2": "108",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330184933",
"telephone_number": "305-698-5411",
"fax_number": "305-698-5586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3416 W 84TH ST",
"address_2": "108",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330184933",
"telephone_number": "305-698-5411",
"fax_number": "305-698-5586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASC PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "SERNA",
"authorized_official_first_name": "ASCANIO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-698-5411"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH22490",
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "FL",
"license": "PH22490",
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "FL",
"license": "PH22490",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "013516900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.