Active NPI
Anh Quang Pham
Doing business as Pham Anhs Pharmacy
- Community/Retail Pharmacy
- San Jose, CA
National Provider Identifier
1184711376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY39579
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0576403 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| PHA395790 | Medicaid | CA |
Other names 1
- PHAM ANHS PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.