Individual provider Active NPI

Ali Omrani, PHARMD

  • Pharmacist
  • San Jose, CA
National Provider Identifier
1164277661
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
90951 Issued in CA
Practice address
410 Glenford Park CT
San Jose, CA 95136-2015
Phone
(408) 599-4121
NPI assigned
Apr 19, 2024
Last updated
May 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 90951 CA Primary

Addresses

Primary practice location

410 Glenford Park CT
San Jose, CA 95136-2015

Mailing address

410 Glenford Park CT
San Jose, CA 95136-2015
Phone (408) 599-4121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
90951CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1164277661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 GLENFORD PARK CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951362015",
            "telephone_number": "408-599-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 GLENFORD PARK CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951362015",
            "telephone_number": "408-599-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMRANI",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-19",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "90951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.