Active NPI
Asian Senior Home Care, Inc
- Long Term Care Pharmacy
- Ponte Vedra, FL
National Provider Identifier
1821623976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- ASIAN SENIOR HOME CARE, INC
- Practice address
- 145 Hilden Rd Ste 102
Ponte Vedra, FL 32081-8401 - Phone
- (904) 600-4099
- NPI assigned
- Mar 10, 2020
- 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
- Anna Nguyen Moyer, PHARM.D.
- Title
- Manager
- Phone
- (904) 600-4099
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
145 Hilden Rd Ste 102
Ponte Vedra, FL 32081-8401
Mailing address
145 Hilden Rd Ste 102
Ponte Vedra, FL 32081-8401
Phone (904) 600-4099
Other names 1
- bluebird pharmacy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583798400000",
"number": "1821623976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 HILDEN RD STE 102",
"city": "PONTE VEDRA",
"state": "FL",
"postal_code": "320818401",
"telephone_number": "904-600-4099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 HILDEN RD STE 102",
"city": "PONTE VEDRA",
"state": "FL",
"postal_code": "320818401",
"telephone_number": "904-600-4099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASIAN SENIOR HOME CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-10",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"status": "A",
"authorized_official_last_name": "NGUYEN MOYER",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "904-600-4099",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "bluebird pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ponte Vedra, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.