Provider Demographics
NPI:1558937581
Name:ASCENSION PHARMACY SERVICES, LLC.
Entity Type:Organization
Organization Name:ASCENSION PHARMACY SERVICES, LLC.
Other - Org Name:ASCENSION RX #1001
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:SPILLE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD,
Authorized Official - Phone:859-814-9786
Mailing Address - Street 1:7701 METROPOLIS DR STE 200B
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78744-3125
Mailing Address - Country:US
Mailing Address - Phone:833-633-7279
Mailing Address - Fax:512-969-2727
Practice Address - Street 1:7701 METROPOLIS DR STE 200B
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78744-3125
Practice Address - Country:US
Practice Address - Phone:833-633-7279
Practice Address - Fax:512-969-2727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-01
Last Update Date:2024-04-11
Deactivation Date:2024-04-03
Deactivation Code:
Reactivation Date:2024-04-11
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy