Active NPI
Dajaju Pharmaceuticals
Doing business as Tan Pharmacy
- Pharmacy
- San Jose, CA
National Provider Identifier
1356952618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- DAJAJU PHARMACEUTICALS
- Doing business as
- Tan Pharmacy
- Practice address
- 2611 Senter Rd Ste 100
San Jose, CA 95111-1185 - Phone
- (408) 680-4360
- NPI assigned
- Aug 11, 2020
- Last updated
- Feb 12, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tan Van Nguyen
- Title
- President/Ceo/Cfo/Director
- Phone
- (408) 680-4360
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | Primary | |
| Community/Retail Pharmacy | 3336C0003X | NU |
Addresses
Primary practice location
2611 Senter Rd Ste 100
San Jose, CA 95111-1185
Mailing address
2611 Senter Rd Ste 100
San Jose, CA 95111-1185
Phone (408) 680-4360
Other names 1
- Tan Pharmacy
National Provider Directory
National Provider DirectoryLocations
2611 Senter Rd
Ste 100
San Jose, CA 95111
Phone (408) 680-4360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613088000000",
"number": "1356952618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 SENTER RD STE 100",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951111185",
"telephone_number": "408-680-4360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 SENTER RD STE 100",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951111185",
"telephone_number": "408-680-4360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAJAJU PHARMACEUTICALS",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-11",
"last_updated": "2021-02-12",
"certification_date": "2021-02-12",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "TAN",
"authorized_official_middle_name": "VAN",
"authorized_official_title_or_position": "PRESIDENT/CEO/CFO/DIRECTOR",
"authorized_official_telephone_number": "408-680-4360"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tan Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Tan Pharmacy",
"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 Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.