Active NPI
Mowry Plaza Pharmacy
- Community/Retail Pharmacy
- Fremont, CA
National Provider Identifier
1043356090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY45452
- Legal business name
- MOWRY PLAZA PHARMACY
- Practice address
- 668 Mowry Ave
Fremont, CA 94536-4113 - Phone
- (510) 745-9900
- Fax
- (510) 745-9950
- NPI assigned
- Jan 29, 2007
- Organization subpart
- Yes
- Parent organization
- HALLER'S PHARMACY & MEDICAL SUPPLY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gurpartap Singh Basrai, PHARM.D.
- Title
- Owner
- Phone
- (510) 745-9900
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 31057 | CA | |
| Community/Retail Pharmacy | 3336C0003X | PHY45452 | CA | Primary |
Addresses
Primary practice location
668 Mowry Ave
Fremont, CA 94536-4113
Mailing address
668 Mowry Ave
Fremont, CA 94536-4113
Phone (510) 745-9900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA454520 | Medicaid | CA |
Other names 1
- Gurpartap Singh Basrai
National Provider Directory
National Provider Directory- Tax ID family
- Washington Medical Phcy
- Part of
- Washington Medical Phcy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Gilroy, CA
- NPI 1336226307
-
- Long Term Care Pharmacy
- Fremont, CA
- NPI 1366598161
Locations
668 Mowry Ave
Fremont, CA 94536
Phone (510) 745-9900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Fremont, CA
- NPI 1659345031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217894400000",
"number": "1043356090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "668 MOWRY AVE",
"city": "FREMONT",
"state": "CA",
"postal_code": "945364113",
"telephone_number": "510-745-9900",
"fax_number": "510-745-9950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "668 MOWRY AVE",
"city": "FREMONT",
"state": "CA",
"postal_code": "945364113",
"telephone_number": "510-745-9900",
"fax_number": "510-745-9950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOWRY PLAZA PHARMACY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HALLER'S PHARMACY & MEDICAL SUPPLY",
"enumeration_date": "2007-01-29",
"last_updated": "2008-08-05",
"status": "A",
"authorized_official_last_name": "BASRAI",
"authorized_official_first_name": "GURPARTAP",
"authorized_official_middle_name": "SINGH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "510-745-9900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "31057",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY45452",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA454520",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gurpartap Singh Basrai",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.