Provider Demographics
NPI:1346779675
Name:AMERICAN SPECIALTY PHARMACY, INC
Entity Type:Organization
Organization Name:AMERICAN SPECIALTY PHARMACY, INC
Other - Org Name:ASPCARES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABDUL
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMEED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-919-2520
Mailing Address - Street 1:13988 DIPLOMAT DRIVE, STE 100A-1
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234
Mailing Address - Country:US
Mailing Address - Phone:469-776-8575
Mailing Address - Fax:469-776-8579
Practice Address - Street 1:8785 W BELLFORT ST STE A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77031-2403
Practice Address - Country:US
Practice Address - Phone:713-568-2756
Practice Address - Fax:281-371-6853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-09
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX309953336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX471167Medicaid
2169153OtherPK
6644460002Medicare NSC
2169153OtherPK