NPIMap

Organization Active NPI

ASC Pharmacy, Inc.

  • Specialty Pharmacy
  • Hialeah, FL
National Provider Identifier
1831592492
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
PH28580 Issued in FL
Legal business name
ASC PHARMACY, INC.
Practice address
3416 W 84TH St
Suite 108a
Hialeah, FL 33018-4933
Phone
(305) 698-5411
Fax
(800) 754-6602
NPI assigned
Sep 26, 2014
Organization subpart
Yes
Parent organization
ASC PHARMACY, INC.As reported in NPPES

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
Mr. Ascanio Serna
Title
President
Phone
(305) 698-5411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X PH28580 FL Primary

Addresses

Primary practice location

3416 W 84TH St
Suite 108a
Hialeah, FL 33018-4933

Mailing address

3416 W 84TH St
Suite 108a
Hialeah, FL 33018-4933
Phone (305) 698-5411

Other identifiers 1

IdentifierTypeStateIssuer
013516900MedicaidFL

Other names 1

  • ASC SPECIALTY PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
ASC Pharmacy Inc2 organizations share this tax ID, including this one
Part of
ASC Pharmacy Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1831592492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 W 84TH ST",
            "address_2": "SUITE 108A",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184933",
            "telephone_number": "305-698-5411",
            "fax_number": "800-754-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 W 84TH ST",
            "address_2": "SUITE 108A",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184933",
            "telephone_number": "305-698-5411",
            "fax_number": "800-754-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASC PHARMACY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASC PHARMACY, INC.",
        "enumeration_date": "2014-09-26",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "FL",
            "license": "PH28580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013516900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASC SPECIALTY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.