Organization Active NPI

Alexian Pharmacy Inc.

  • Pharmacist
  • San Jose, CA
National Provider Identifier
1396829248
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHY46904 Issued in CA
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

Updated by the provider on Mar 7, 2023

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)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
46904OtherCAPHY
PHA461130OtherCAMEDI-CAL
0588749OtherCANAPB

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.