NPIMap

Organization Active NPI

Farmacia Remedios Inc

  • Community/Retail Pharmacy
  • San Jose, CA
National Provider Identifier
1265629802
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY48727 Issued in CA
Legal business name
FARMACIA REMEDIOS INC
Practice address
996 S King Rd
San Jose, CA 95116-3506
Phone
(408) 251-8300
Fax
(408) 251-8300
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Ben Singer
Title
Coo
Phone
(415) 377-5525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY48727 CA Primary

Addresses

Primary practice location

996 S King Rd
San Jose, CA 95116-3506

Mailing address

PO Box 9830
Salt Lake City, UT 84109-9830
Phone (877) 540-4748

Other identifiers 2

IdentifierTypeStateIssuer
PHA470860MedicaidCA
5628245OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • FARMACIA REMEDIOS INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Farmacia Remedios Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1265629802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9830",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841099830",
            "telephone_number": "877-540-4748",
            "fax_number": "801-716-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "996 S KING RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951163506",
            "telephone_number": "408-251-8300",
            "fax_number": "408-251-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA REMEDIOS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "SINGER",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "415-377-5525"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA470860",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5628245",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA REMEDIOS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 14, 2010; 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.