Provider Demographics
NPI:1083703979
Name:ASAP RX CORP
Entity Type:Organization
Organization Name:ASAP RX CORP
Other - Org Name:ASAP PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VAHE
Authorized Official - Middle Name:GAREN
Authorized Official - Last Name:SIMONIAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:818-543-1800
Mailing Address - Street 1:1340 E WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-4632
Mailing Address - Country:US
Mailing Address - Phone:818-543-1800
Mailing Address - Fax:818-553-1900
Practice Address - Street 1:1340 E WILSON AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-4632
Practice Address - Country:US
Practice Address - Phone:818-543-1800
Practice Address - Fax:818-553-1900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2021-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY 554663336C0003X, 3336L0003X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5560280001OtherMEDICARE PTAN PROVIDER
CA5614690OtherNCPDP OR NABP
CAPHY 55466OtherCALIFORNIA STATE BOARD OF PHARMACY