Provider Demographics
NPI:1851497416
Name:ASSURED PHARMACIES, INC
Entity type:Organization
Organization Name:ASSURED PHARMACIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNEIDEREIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-332-5355
Mailing Address - Street 1:2595 DALLAS PKWY
Mailing Address - Street 2:#206
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034
Mailing Address - Country:US
Mailing Address - Phone:972-668-7394
Mailing Address - Fax:866-232-1680
Practice Address - Street 1:2431 N. TUSTIN AVE
Practice Address - Street 2:UNIT L
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705
Practice Address - Country:US
Practice Address - Phone:714-667-1980
Practice Address - Fax:714-667-1981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY465043336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5601061OtherNCPDP