Asm Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

14901/1.1 Issued in MS

Legal business name

ASM INC

Practice address

9065 Sandidge Center CV
Suite a
Olive Branch, MS 38654-3574

Phone

(662) 892-8448

Fax

(662) 892-8189

NPI assigned

Aug 2, 2016

Organization subpart

No

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

Authorized official

Name

Mike KlepzigNPI 1427512516

Title

Pharmacist in Charge

Phone

(662) 892-8448

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Mike's Pharmacy, A Memeber of the Medicine Shoppe Family Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 3

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

• Mike William Klepzig, RPH

  • Pharmacist
  • Olive Branch, MS
  • NPI 1427512516
  NPD (past) Authorized official
• Steven Perkins

  • Pharmacist
  • Olive Branch, MS
  • NPI 1407328982
  NPD
• Milejah Diane Higgins, PHARMD

  • Pharmacist
  • Olive Branch, MS
  • NPI 1164103891
  NPD (past)

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1902359342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9065 SANDIDGE CENTER CV",
            "address_2": "SUITE A",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386543574",
            "telephone_number": "662-892-8448",
            "fax_number": "662-892-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9065 SANDIDGE CENTER CV",
            "address_2": "SUITE A",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386543574",
            "telephone_number": "662-892-8448",
            "fax_number": "662-892-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "KLEPZIG",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "662-892-8448"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "14901/1.1",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0040940",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162413",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mike's Pharmacy, A Memeber of the Medicine Shoppe Family",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber-Leigh Management Corp
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• Arden of North Mississippi, LLC
• Jesse Armour, LMSW
• Jennifer M Ashley, DO
• James Evan Bailey, DMD
• Kristen Marie Bailey, NP-C
• Nicholas Bailey
• Terricka Latrease Bailey, RN /APN
• Rodney Baker

• Community/Retail Pharmacy in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.