Active NPI
Alexian Pharmacy Inc.
- Pharmacist
- San Jose, CA
National Provider Identifier
1396829248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHY46904
- Legal business name
- ALEXIAN PHARMACY INC.
- Practice address
- 175 N Jackson Ave
Suite 101
San Jose, CA 95116-1909 - Phone
- (408) 347-8330
- Fax
- (408) 347-8604
- NPI assigned
- Oct 25, 2006
- 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
- Mr. William DO
- Title
- Manager
- Phone
- (408) 347-8330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHY46904 | CA | Primary |
Addresses
Primary practice location
175 N Jackson Ave
Suite 101
San Jose, CA 95116-1909
Mailing address
175 N Jackson Ave
Suite 101
San Jose, CA 95116-1909
Phone (408) 347-8330
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46904 | Other | CA | PHY |
| PHA461130 | Other | CA | MEDI-CAL |
| 0588749 | Other | CA | NAPB |
National Provider Directory
National Provider DirectoryLocations
175 N Jackson Ave
Ste 101
San Jose, CA 95116
Phone (314) 458-9300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1396829248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 N JACKSON AVE",
"address_2": "SUITE 101",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161909",
"telephone_number": "408-347-8330",
"fax_number": "408-347-8604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 N JACKSON AVE",
"address_2": "SUITE 101",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161909",
"telephone_number": "408-347-8330",
"fax_number": "408-347-8604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALEXIAN PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "DO",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "408-347-8330",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "PHY46904",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHY",
"identifier": "46904",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "PHA461130",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NAPB",
"identifier": "0588749",
"state": "CA"
}
],
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.