Organization Active NPI

Samaritan Apothecary Pharmacy Inc.

  • Pharmacy
  • San Jose, CA
National Provider Identifier
1396116679
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY 53741 Issued in CA
Legal business name
SAMARITAN APOTHECARY PHARMACY INC.
Practice address
2505 Samaritan Dr
Suite 300
San Jose, CA 95124-4006
Phone
(408) 884-8828
Fax
(408) 884-8895
NPI assigned
Oct 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Authorized official

Name
Thuan Vo
Title
Pharmacist/Officer
Phone
(408) 205-2477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY 53741 CA Primary

Addresses

Primary practice location

2505 Samaritan Dr
Suite 300
San Jose, CA 95124-4006

Mailing address

2505 Samaritan Dr
Suite 300
San Jose, CA 95124-4006
Phone (408) 884-8828

National Provider Directory

National Provider Directory

Locations

2505 Samaritan Dr
Ste 300
San Jose, CA 95124
Phone (408) 356-7111

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1396116679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR",
            "address_2": "SUITE 300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244006",
            "telephone_number": "408-884-8828",
            "fax_number": "408-884-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR",
            "address_2": "SUITE 300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244006",
            "telephone_number": "408-884-8828",
            "fax_number": "408-884-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN APOTHECARY PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "THUAN",
        "authorized_official_title_or_position": "PHARMACIST/OFFICER",
        "authorized_official_telephone_number": "408-205-2477"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY 53741",
            "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 Apr 21, 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.