Pacific Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

47826 Issued in CA

Legal business name

PACIFIC PHARMACY

Practice address

2874 Alum Rock Ave
Ste a
San Jose, CA 95127-2804

Phone

(408) 937-4618

Fax

(408) 937-8371

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Hung Viet NguyenNPI 1831195023

Title

Owner

Phone

(408) 937-4618

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Hung Viet Nguyen, PHARMACIST

  • Pharmacist
  • San Jose, CA
  • NPI 1831195023
  NPD (past) Authorized official

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1104999119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2874 ALUM ROCK AVE",
            "address_2": "STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951272804",
            "telephone_number": "408-937-4618",
            "fax_number": "408-937-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2874 ALUM ROCK AVE",
            "address_2": "STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951272804",
            "telephone_number": "408-937-4618",
            "fax_number": "408-937-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HUNG",
        "authorized_official_middle_name": "VIET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-937-4618",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "47826",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "47826",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA409030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pacific Medical, Inc.
• Pacific Partners Medical Group Inc.
• Pacific Regenerative and Interventional Sports Medicine
• Pacific Rim Physical Therapy P.C.
• Pacific Rim Rehabilitation Center
• Pacific Therapy and Rehab, Inc
• Pacifica Clinics

• All providers in San Jose, CA
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.

Verify at the official NPI Registry.