Active NPI
Friendly Pharmacy Incorporated
- Community/Retail Pharmacy
- San Jose, CA
National Provider Identifier
1427221944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY48961
- Legal business name
- FRIENDLY PHARMACY INCORPORATED
- Doing business as
- Friendly #2 Pharmacy
- Practice address
- 639 Tully Rd Ste a
San Jose, CA 95111-1000 - Phone
- (408) 279-8188
- Fax
- (408) 279-8104
- NPI assigned
- Apr 4, 2008
- 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
- Dr. Phu Anh Nguyen, PHARMD
- Title
- President
- Phone
- (408) 279-8188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY48961 | CA | Primary |
Addresses
Primary practice location
639 Tully Rd Ste a
San Jose, CA 95111-1000
Mailing address
639 Tully Rd Ste a
San Jose, CA 95111-1000
Phone (408) 279-8188
Other names 1
- Friendly #2 Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930055742 | CA | DME Supplier - Pharmacy | 9436350089 | Practice locations: San Jose, CA |
National Provider Directory
National Provider Directory- Tax ID family
- Friendly Pharmacy Incorporated
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- San Jose, CA
- NPI 1457109829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599696000000",
"number": "1427221944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 TULLY RD STE A",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951111000",
"telephone_number": "408-279-8188",
"fax_number": "408-279-8104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "639 TULLY RD STE A",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951111000",
"telephone_number": "408-279-8188",
"fax_number": "408-279-8104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIENDLY PHARMACY INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-04",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "PHU",
"authorized_official_middle_name": "ANH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "408-279-8188",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY48961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Friendly #2 Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}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 Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.