Organization Active NPI

Valley Care Pharmacy LLC

  • Community/Retail Pharmacy
  • San Jose, CA
National Provider Identifier
1255160495
Registry record updated Jul 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
VALLEY CARE PHARMACY LLC
Practice address
1080 Saratoga Ave Ste 3
San Jose, CA 95129-3418
Phone
(916) 990-5639
NPI assigned
Jul 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2024

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

Authorized official

Name
Mrunalben PatelNPI 1245515824
Title
Managing Member
Phone
(916) 990-5639

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1080 Saratoga Ave Ste 3
San Jose, CA 95129-3418

Mailing address

1080 Saratoga Ave Ste 3
San Jose, CA 95129-3418
Phone (916) 990-5639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241226002189 CA Part B Supplier - Mass Immunization (Roster Biller Only) 4789111022 Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

1080 Saratoga Ave
Ste 3
San Jose, CA 95129
Phone (480) 519-2278

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722038400000",
    "number": "1255160495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 SARATOGA AVE STE 3",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293418",
            "telephone_number": "916-990-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 SARATOGA AVE STE 3",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293418",
            "telephone_number": "916-990-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-27",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MRUNALBEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "916-990-5639"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 27, 2024; 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.