Provider Demographics
NPI:1710923107
Name:ASAP RX INC
Entity Type:Organization
Organization Name:ASAP RX INC
Other - Org Name:ADVANCED HOMECARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSA
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGER
Authorized Official - Phone:313-532-4500
Mailing Address - Street 1:12699 FARLEY
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-2642
Mailing Address - Country:US
Mailing Address - Phone:313-532-4500
Mailing Address - Fax:313-532-3011
Practice Address - Street 1:12699 FARLEY
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-2642
Practice Address - Country:US
Practice Address - Phone:313-532-4500
Practice Address - Fax:313-532-3011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336C0004X, 3336I0012X, 3336S0011X
MI53010082843336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2367921OtherNCPDP PROVIDER IDENTIFICATION NUMBER
MI4848516Medicaid
5620450001Medicare NSC