Organization Active NPI

Doan Pharmacy

  • Community/Retail Pharmacy
  • San Jose, CA
National Provider Identifier
1295857563
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY36150 Issued in CA
Legal business name
DOAN PHARMACY
Practice address
1692 Tully Rd
Suite 7
San Jose, CA 95122-2549
Phone
(408) 238-6319
Fax
(408) 238-6363
NPI assigned
Apr 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Mr. Tuan Manh Doan, PHARMACISTNPI 1689671752
Title
Owner
Phone
(408) 238-6319

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X PHY36150 CA Primary

Addresses

Primary practice location

1692 Tully Rd
Suite 7
San Jose, CA 95122-2549

Mailing address

1692 Tully Rd
Suite 7
San Jose, CA 95122-2549
Phone (408) 238-6319

Other identifiers 1

IdentifierTypeStateIssuer
PHA361500MedicaidCA

National Provider Directory

National Provider Directory

Locations

1692 Tully Rd
Ste 7
San Jose, CA 95122
Phone (408) 238-6319

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": "1175731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1295857563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1692 TULLY RD",
            "address_2": "SUITE 7",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951222549",
            "telephone_number": "408-238-6319",
            "fax_number": "408-238-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1692 TULLY RD",
            "address_2": "SUITE 7",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951222549",
            "telephone_number": "408-238-6319",
            "fax_number": "408-238-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOAN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-05",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "TUAN",
        "authorized_official_middle_name": "MANH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-238-6319",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY36150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA361500",
            "state": "CA"
        }
    ],
    "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 Mar 20, 2008; 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.