Organization Active NPI

Tri-City Pharmacy

  • Long Term Care Pharmacy
  • Milpitas, CA
National Provider Identifier
1275794307
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
TRI-CITY PHARMACY
Doing business as
Tri-City Pharmacy
Practice address
1132 Cadillac CT
Milpitas, CA 95035-3058
Phone
(408) 935-9120
Fax
(408) 935-9121
NPI assigned
Jun 20, 2008
Last updated
Aug 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Authorized official

Name
Miranda Basrai, PHARM. DNPI 1922375476
Title
Pharmacist
Phone
(510) 366-9218

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY49020 CA
Long Term Care Pharmacy 3336L0003X CA Primary
Specialty Pharmacy 3336S0011X CA

Addresses

Primary practice location

1132 Cadillac CT
Milpitas, CA 95035-3058

Mailing address

1132 Cadillac CT
Milpitas, CA 95035-3058
Phone (408) 935-9120

Other identifiers 1

IdentifierTypeStateIssuer
5631963OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Tri-City Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1132 Cadillac Ct
Milpitas, CA 95035
Phone (408) 935-9120

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1275794307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 CADILLAC CT",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950353058",
            "telephone_number": "408-935-9120",
            "fax_number": "408-935-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 CADILLAC CT",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950353058",
            "telephone_number": "408-935-9120",
            "fax_number": "408-935-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "BASRAI",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "510-366-9218",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY49020",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5631963",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tri-City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.