Organization Active NPI

Asian Senior Home Care, Inc

  • Long Term Care Pharmacy
  • Ponte Vedra, FL
National Provider Identifier
1821623976
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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

Updated by the provider on Mar 10, 2020

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.