Active NPI
Siscare RX LLC
Doing business as Garciacare
- Long Term Care Pharmacy
- San Jose, CA
National Provider Identifier
1184178063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- SISCARE RX LLC
- Doing business as
- Garciacare
- Practice address
- 25 N 14TH St Street
Ste 168
San Jose, CA 95112-6204 - Phone
- (408) 251-0205
- Fax
- (408) 272-5819
- NPI assigned
- Aug 9, 2016
- Last updated
- Dec 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Thuy Mien Le
- Title
- Managing Member
- Phone
- (408) 251-0205
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
25 N 14TH St Street
Ste 168
San Jose, CA 95112-6204
Mailing address
25 N 14TH St Street
Ste 168
San Jose, CA 95112-6204
Phone (408) 251-0205
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2162510 | Other | PK |
Other names 1
- Garciacare
National Provider Directory
National Provider Directory- Tax ID family
- Drogueria San Jose Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607558400000",
"number": "1184178063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 N 14TH ST STREET",
"address_2": "STE 168",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951126204",
"telephone_number": "408-251-0205",
"fax_number": "408-272-5819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 N 14TH ST STREET",
"address_2": "STE 168",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951126204",
"telephone_number": "408-251-0205",
"fax_number": "408-272-5819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SISCARE RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-09",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A",
"authorized_official_last_name": "LE",
"authorized_official_first_name": "THUY MIEN",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "408-251-0205",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2162510",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Garciacare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Garciacare",
"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 Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.