NPIMap

Organization Active NPI

McKee Medical Pharmacy Inc

  • Long Term Care Pharmacy
  • San Jose, CA
National Provider Identifier
1417567413
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MCKEE MEDICAL PHARMACY INC
Practice address
2350 McKee Rd Ste A3
San Jose, CA 95116-1617
Phone
(408) 923-8871
Fax
(408) 259-4416
NPI assigned
Aug 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Authorized official

Name
Austin Wang, PHARMDNPI 1619418142
Title
Director of Operations
Phone
(408) 923-8871

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2350 McKee Rd Ste A3
San Jose, CA 95116-1617

Mailing address

2350 McKee Rd Ste A3
San Jose, CA 95116-1617
Phone (408) 923-8871

National Provider Directory

National Provider Directory
Tax ID family
McKee Medical Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1417567413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 MCKEE RD STE A3",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161617",
            "telephone_number": "408-923-8871",
            "fax_number": "408-259-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 MCKEE RD STE A3",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161617",
            "telephone_number": "408-923-8871",
            "fax_number": "408-259-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKEE MEDICAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "408-923-8871",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "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 4, 2020; 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.