Active NPI
Valley Care Pharmacy LLC
- Community/Retail Pharmacy
- San Jose, CA
National Provider Identifier
1255160495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrunalben Patel
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241226002189 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 4789111022 | Practice locations: San Jose, CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- San Jose, CA
- NPI 1245515824
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.