Active NPI
Herjot Kaur Atwal, PHARMD
- Pharmacist
- San Jose, CA
National Provider Identifier
1114342623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69058
- Practice address
- 440 Blossom Hill Rd
San Jose, CA 95123-1608 - Phone
- (408) 229-8013
- NPI assigned
- Feb 20, 2014
- Last updated
- Feb 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 69058 | CA | Primary |
Addresses
Primary practice location
440 Blossom Hill Rd
San Jose, CA 95123-1608
Mailing address
440 Blossom Hill Rd
San Jose, CA 95123-1608
Phone (408) 229-8013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392854400000",
"number": "1114342623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 BLOSSOM HILL RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951231608",
"telephone_number": "408-229-8013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 BLOSSOM HILL RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951231608",
"telephone_number": "408-229-8013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATWAL",
"first_name": "HERJOT",
"middle_name": "KAUR",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-20",
"last_updated": "2014-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "69058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.