Organization Active NPI

Aborn Pharmacy

  • Community/Retail Pharmacy
  • San Jose, CA
National Provider Identifier
1053346890
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY43166 Issued in CA
Legal business name
ABORN PHARMACY
Doing business as
Aborn Pharmacy
Practice address
2060 Aborn Rd
Ste 150B
San Jose, CA 95121-1584
Phone
(408) 531-1899
Fax
(408) 238-3978
NPI assigned
Jul 11, 2006
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Luong DO
Title
Mang Co-Owner
Phone
(408) 644-7158

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY43166 CA Primary

Addresses

Primary practice location

2060 Aborn Rd
Ste 150B
San Jose, CA 95121-1584

Mailing address

2060 Aborn Rd
Ste 150B
San Jose, CA 95121-1584
Phone (408) 531-1899

Other identifiers 2

IdentifierTypeStateIssuer
2002316OtherPK
PHA431660MedicaidCA

Other names 1

  • Aborn Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1053346890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 ABORN RD",
            "address_2": "STE 150B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211584",
            "telephone_number": "408-531-1899",
            "fax_number": "408-238-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 ABORN RD",
            "address_2": "STE 150B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211584",
            "telephone_number": "408-531-1899",
            "fax_number": "408-238-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABORN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "LUONG",
        "authorized_official_title_or_position": "MANG CO-OWNER",
        "authorized_official_telephone_number": "408-644-7158"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY43166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2002316",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA431660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aborn Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.