Organization Active NPI

ASC Pharmacy Inc

  • Community/Retail Pharmacy
  • Hialeah, FL
National Provider Identifier
1770625683
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH22490 Issued in FL
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
013516900MedicaidFL

National Provider Directory

National Provider Directory

Ownership & 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.

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.

Verify at the official NPI Registry.