Active NPI
Milo K Kentera
- Pharmacist
- San Jose, CA
National Provider Identifier
1366720690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21658
- Practice address
- 1300 W San Carlos St
San Jose, CA 95126-3444 - Phone
- (408) 882-0988
- NPI assigned
- Aug 3, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21658 | CA | Primary |
Addresses
Primary practice location
1300 W San Carlos St
San Jose, CA 95126-3444
Mailing address
1300 W San Carlos St
San Jose, CA 95126-3444
Phone (408) 882-0988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21658 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312329600000",
"number": "1366720690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 W SAN CARLOS ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951263444",
"telephone_number": "408-882-0988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 W SAN CARLOS ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951263444",
"telephone_number": "408-882-0988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENTERA",
"first_name": "MILO",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-03",
"last_updated": "2011-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "21658",
"primary": true
}
],
"identifiers": [],
"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 Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.