Organization Active NPI

San Jose Clinic

  • Pharmacy
  • Rosenberg, TX
National Provider Identifier
1043099328
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SAN JOSE CLINIC
Practice address
117 Lane Dr Ste 31
Rosenberg, TX 77471-2263
Phone
(832) 945-6244
NPI assigned
Sep 26, 2023
Organization subpart
Yes
Parent organization
SAN JOSE CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tammy Perez ChiuNPI 1851016364
Title
Pharmacist in Charge
Phone
(414) 758-6046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

117 Lane Dr Ste 31
Rosenberg, TX 77471-2263

Mailing address

2615 Fannin St
Houston, TX 77002-9224

National Provider Directory

National Provider Directory
Tax ID family
San Jose Clinic2 organizations share this tax ID, including this one
Part of
San Jose Clinic

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

117 Lane Dr
Ste 31
Rosenberg, TX 77471
Phone (832) 945-6244

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19643/brand/1/csg/1/fhir/r4

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1043099328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 LANE DR STE 31",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774712263",
            "telephone_number": "832-945-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOSE CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN JOSE CLINIC",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "PEREZ CHIU",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "414-758-6046"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosenberg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.