NPIMap

Organization Active NPI

El Camino Hospital Pharmacy

  • Pharmacy
  • Mountain View, CA
National Provider Identifier
1245363159
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
HSP39033 Issued in CA
Legal business name
EL CAMINO HOSPITAL PHARMACY
Practice address
2500 Grant Rd
Mountain View, CA 94040-4302
Phone
(650) 940-7011
Fax
(650) 966-9332
NPI assigned
Mar 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bob Blair
Title
Pharmacy Director
Phone
(650) 940-7019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X HSP39033 CA Primary

Addresses

Primary practice location

2500 Grant Rd
Mountain View, CA 94040-4302

Mailing address

2500 Grant Rd
Mountain View, CA 94040-4302
Phone (650) 940-7011

Other identifiers 1

IdentifierTypeStateIssuer
PHB345400MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
El Camino Hospital Pharmacy7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245363159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 GRANT RD",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404302",
            "telephone_number": "650-940-7011",
            "fax_number": "650-966-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 GRANT RD",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404302",
            "telephone_number": "650-940-7011",
            "fax_number": "650-966-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL CAMINO HOSPITAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "650-940-7019"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "HSP39033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHB345400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.