Alum Rock Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY51450 Issued in CA

Legal business name

ALUM ROCK PHARMACY INC

Doing business as

Alum Rock Pharmacy

Practice address

1855 Alum Rock Ave
Ste a
San Jose, CA 95116-1398

Phone

(408) 254-1551

Fax

(408) 254-3099

NPI assigned

Jun 20, 2005

Organization subpart

No

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

Authorized official

Name

An Nguyen, RPH

Title

President/Owner/Pic

Phone

(408) 254-1551

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Alum Rock Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1386649887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 ALUM ROCK AVE",
            "address_2": "STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161398",
            "telephone_number": "408-254-1551",
            "fax_number": "408-254-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 ALUM ROCK AVE",
            "address_2": "STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161398",
            "telephone_number": "408-254-1551",
            "fax_number": "408-254-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALUM ROCK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "AN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/PIC",
        "authorized_official_telephone_number": "408-254-1551",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY51450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140895",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY49179",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alum Rock Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• James Alva, M.D.
• Johnnell Pamela Alva
• Rosalina Marie Alva

• Community/Retail Pharmacy in San Jose, CA
• Providers in San Jose, 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 Jun 2, 2016; 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.