Medical Center Pharmacies Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY11062 Issued in CA

Legal business name

MEDICAL CENTER PHARMACIES INC

Doing business as

JEFFERSON PLAZA PHARMACY

Practice address

3137 Jefferson Ave
Redwood City, CA 94062-2959

Phone

(650) 366-3784

Fax

(650) 366-1848

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

John Pinghon Chan, PHARMD

Title

Pharmacist/MGR

Phone

(650) 366-3784

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• JEFFERSON PLAZA PHARMACY Doing business as

Locations

Practitioners 1

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

• Johnny Pinghon Chan

  • Pharmacist
  • Redwood City, CA
  • NPI 1881687846
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1437287802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3137 JEFFERSON AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940622959",
            "telephone_number": "650-366-3784",
            "fax_number": "650-366-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3137 JEFFERSON AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940622959",
            "telephone_number": "650-366-3784",
            "fax_number": "650-366-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "PINGHON CHAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHARMACIST/MGR",
        "authorized_official_telephone_number": "650-366-3784",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY11062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2076783",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA110620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JEFFERSON PLAZA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nia Meadors
• Eric Mebane, MD
• Ivy Mecano
• Christian Thomas Medellin, AU. D.
• Medexpert International, Inc.
• Jamie Gere Medina
• Joan Marie Medina, CRNA
• Luis Medina
• Meds LLC
• Svetlana Medvinsky, PH.D.

• Community/Retail Pharmacy in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.