McKee Medical Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY40638 Issued in CA

Legal business name

MCKEE MEDICAL PHARMACY INC

Practice address

2350 McKee Rd
Ste A3
San Jose, CA 95116-1617

Phone

(408) 923-8871

Fax

(408) 259-4416

NPI assigned

Apr 4, 2006

Last updated

Jul 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenda Wang

Title

Accountant Office Manager

Phone

(408) 923-8871

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Tax ID family

McKee Medical Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• McKee Medical Pharmacy Inc

  • Long Term Care Pharmacy
  • San Jose, CA
  • NPI 1417567413
  NPD tax ID

Locations

Practitioners 4

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.

• Austin Wang, PHARMD

  • Pharmacist
  • San Jose, CA
  • NPI 1619418142
  NPD
• Michelle Lee, RPH

  • Pharmacist
  • San Jose, CA
  • NPI 1487325916
  NPD (past)
• Celine Nguyen-Doan Phan

  • Pharmacist
  • San Jose, CA
  • NPI 1285344259
  NPD (past)
• Zixuan Wang

  • Pharmacist
  • San Jose, CA
  • NPI 1588340673
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1235191339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 MCKEE RD",
            "address_2": "STE A3",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161617",
            "telephone_number": "408-923-8871",
            "fax_number": "408-259-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 MCKEE RD",
            "address_2": "STE A3",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161617",
            "telephone_number": "408-923-8871",
            "fax_number": "408-259-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKEE MEDICAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "ACCOUNTANT  OFFICE MANAGER",
        "authorized_official_telephone_number": "408-923-8871"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY40638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA406380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lee McGullam, MD
• Star McHenry
• Katie L McIntyre-Dykes
• Gail McKay, NP
• Nasjah McKay
• McKee Medical Pharmacy Inc
• McKee Surgery Center
• Cynthia Marie McKee, MFT
• Nicole McKee
• Claire Jeanette McKeefry

• Pharmacy in San Jose, CA
• Providers in San Jose, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.