Organization Active NPI

Anh Quang Pham

Doing business as Pham Anhs Pharmacy

  • Community/Retail Pharmacy
  • San Jose, CA
National Provider Identifier
1184711376
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY39579 Issued in CA
Legal business name
ANH QUANG PHAM
Doing business as
Pham Anhs Pharmacy
Practice address
527 E Santa Clara St
San Jose, CA 95112-2004
Phone
(408) 947-7900
Fax
(408) 947-7114
NPI assigned
Oct 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Authorized official

Name
Anh Pham
Title
Owner
Phone
(408) 947-7900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY39579 CA Primary

Addresses

Primary practice location

527 E Santa Clara St
San Jose, CA 95112-2004

Mailing address

527 E Santa Clara St
San Jose, CA 95112-2004
Phone (408) 947-7900

Other identifiers 2

IdentifierTypeStateIssuer
0576403OtherNCPDP PROVIDER IDENTIFICATION NUMBER
PHA395790MedicaidCA

Other names 1

  • PHAM ANHS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

527 E Santa Clara St
San Jose, CA 95112
Phone (408) 947-7900

NPI Registry JSON

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1184711376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 E SANTA CLARA ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951122004",
            "telephone_number": "408-947-7900",
            "fax_number": "408-947-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 E SANTA CLARA ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951122004",
            "telephone_number": "408-947-7900",
            "fax_number": "408-947-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANH QUANG PHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "ANH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-947-7900"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY39579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0576403",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA395790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHAM ANHS PHARMACY",
            "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 Feb 18, 2011; 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.