Mowry Plaza Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

51006 Issued in CA

Legal business name

MOWRY PLAZA PHARMACY INC

Practice address

668 Mowry Ave
Fremont, CA 94536-4113

Phone

(510) 745-9900

Fax

(510) 745-9950

NPI assigned

Aug 16, 2012

Organization subpart

No

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

Authorized official

Name

Amarjean Basrai

Title

President

Phone

(510) 745-9900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mowry Plaza Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Minh Dinh Nguyen, PHARM D

  • Pharmacist
  • Fremont, CA
  • NPI 1659345031
  NPD (past)

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1356699722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364113",
            "telephone_number": "510-745-9900",
            "fax_number": "510-745-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364113",
            "telephone_number": "510-745-9900",
            "fax_number": "510-745-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOWRY PLAZA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "BASRAI",
        "authorized_official_first_name": "AMARJEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-745-9900"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "51006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5645544",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mowry Plaza Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mowry Plaza Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gaola Moua, MS ED COUNSELING PPS
• Asrai Mousa, DDS
• Mowry Medical Group, Inc.
• Mowry Medical Pharmacy, Inc.
• Mowry Plaza Pharmacy
• Vanessa Moya
• Anna Mrelashvili, M.D.
• Mehwesh Muhammed
• Kuljit Kaur Muhar, D.C.
• Diya Mukherjee

• Community/Retail Pharmacy in Fremont, CA
• Providers in Fremont, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.

Verify at the official NPI Registry.