Active NPI
Emmanuel Rohani
- Pharmacist
- San Jose, CA
National Provider Identifier
1255840625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 57715
- Practice address
- 4623 Fallstone Court
San Jose, CA 95124 - Phone
- (775) 742-9039
- NPI assigned
- Sep 28, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 57715 | CA | Primary |
Addresses
Primary practice location
4623 Fallstone Court
San Jose, CA 95124
Mailing address
4623 Fallstone CT
San Jose, CA 95124-3463
Phone (775) 742-9039
Other practice location 1
1475 41st Ave
Capitola, CA 95010-2908
Phone (831) 476-7282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
-
- Community/Retail Pharmacy
- Capitola, CA
- NPI 1801905344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1255840625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4623 FALLSTONE CT",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951243463",
"telephone_number": "775-742-9039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4623 FALLSTONE COURT",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95124",
"telephone_number": "775-742-9039"
}
],
"practiceLocations": [
{
"address_1": "1475 41st Ave",
"address_purpose": "LOCATION",
"city": "Capitola",
"state": "CA",
"postal_code": "950102908",
"country_code": "US",
"telephone_number": "831-476-7282",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROHANI",
"first_name": "EMMANUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "57715",
"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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.