Aspen RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ASPEN RX LLC

Practice address

1908 Central Dr Ste C
Bedford, TX 76021-5822

Phone

(817) 864-1855

Fax

(817) 864-1869

NPI assigned

Apr 19, 2018

Last updated

May 4, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amorin Julio

Title

Manager

Phone

(469) 656-7987

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Aspen Rx Other name

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1962999425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 CENTRAL EXPY N STE 2105",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136103",
            "telephone_number": "469-424-0811",
            "fax_number": "469-421-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 CENTRAL DR STE C",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215822",
            "telephone_number": "817-864-1855",
            "fax_number": "817-864-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "JULIO",
        "authorized_official_first_name": "AMORIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-656-7987"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177301",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Rx",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.