Organization Active NPI

Patient Centric Pharmacy Services

Doing business as San Mateo Neighborhood Pharmacy

  • Long Term Care Pharmacy
  • San Mateo, CA
National Provider Identifier
1184075566
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
51988 Issued in CA
Legal business name
PATIENT CENTRIC PHARMACY SERVICES
Doing business as
San Mateo Neighborhood Pharmacy
Practice address
9 37TH Ave
San Mateo, CA 94403-4404
Phone
(650) 827-5277
Fax
(650) 817-7227
NPI assigned
Jun 27, 2016
Last updated
Jun 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Authorized official

Name
Alvin LeeNPI 1366761504
Title
Owner/Pic
Phone
(415) 307-3965

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 51988 CA Primary

Addresses

Primary practice location

9 37TH Ave
San Mateo, CA 94403-4404

Mailing address

9 37TH Ave
San Mateo, CA 94403-4404
Phone (650) 827-5277

Other identifiers 2

IdentifierTypeStateIssuer
6638740MedicaidCA
2160784OtherPK

Other names 1

  • San Mateo Neighborhood Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

9 37th Ave
San Mateo, CA 94403
Phone (650) 827-5277

Practitioners & affiliated clinicians

Practitioners 2

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": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1184075566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 37TH AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944034404",
            "telephone_number": "650-827-5277",
            "fax_number": "650-817-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 37TH AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944034404",
            "telephone_number": "650-827-5277",
            "fax_number": "650-817-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT CENTRIC PHARMACY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "415-307-3965"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "51988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6638740",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160784",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Mateo Neighborhood Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.