Asr Health Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ASR HEALTH INC.

Practice address

12677 Hesperia Road
Suite 180
Victorville, CA 92395

Phone

(760) 962-1200

Fax

(760) 962-1222

NPI assigned

Nov 21, 2005

Organization subpart

No

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

Authorized official

Name

Srinivasa Rao KandruNPI 1154886133

Title

Director

Phone

(760) 962-1200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Queens Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Asr Health Inc.

  • Community/Retail Pharmacy
  • Apple Valley, CA
  • NPI 1023298676

  O20210122002527

  Same enrollment

Tax ID family

Asr Health Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Asr Health Inc.

  • Community/Retail Pharmacy
  • Apple Valley, CA
  • NPI 1023298676
  NPD tax ID
• Asr Health Inc.

  • Long Term Care Pharmacy
  • Victorville, CA
  • NPI 1518585587
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Srinivasa Rao Kandru

  • Pharmacist
  • Lancaster, CA
  • NPI 1154886133
  NPD (past) Authorized official

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1801879291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12677 HESPERIA RD STE 180",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957754",
            "telephone_number": "760-962-1200",
            "fax_number": "760-962-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12677 HESPERIA ROAD",
            "address_2": "SUITE 180",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92395",
            "telephone_number": "760-962-1200",
            "fax_number": "760-962-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASR HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "KANDRU",
        "authorized_official_first_name": "SRINIVASA",
        "authorized_official_middle_name": "RAO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "760-962-1200"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY57281",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queens Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mohammad Aslam, MD
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• Justin Douglas Atkins, MSN, RN, AGACNP-BC
• Namyra Augburn
• Daniel Carl Austin, RN

• Community/Retail Pharmacy in Victorville, CA
• Providers in Victorville, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.