Organization Active NPI

Dajaju Pharmaceuticals

Doing business as Tan Pharmacy

  • Pharmacy
  • San Jose, CA
National Provider Identifier
1356952618
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.