Organization Active NPI

Med-Econ Pharmacy Inc

Doing business as Economed Pharmacy

  • Community/Retail Pharmacy
  • Mountain View, CA
National Provider Identifier
1447362363
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY32473 Issued in CA
Legal business name
MED-ECON PHARMACY INC
Doing business as
Economed Pharmacy
Practice address
105 South Dr
Ste 100
Mountain View, CA 94040-4311
Phone
(650) 968-3535
Fax
(650) 968-4620
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Authorized official

Name
Nori Yabumoto, RPH
Title
Owner
Phone
(650) 968-3535

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY32473 CA Primary

Addresses

Primary practice location

105 South Dr
Ste 100
Mountain View, CA 94040-4311

Mailing address

105 South Dr
Ste 100
Mountain View, CA 94040-4311
Phone (650) 968-3535

Other identifiers 2

IdentifierTypeStateIssuer
0566628OtherNCPDP PROVIDER IDENTIFICATION NUMBER
PHA324730MedicaidCA

Other names 1

  • ECONOMED PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

105 South Dr
Ste 100
Mountain View, CA 94040
Phone (650) 968-3535

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1447362363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SOUTH DR",
            "address_2": "STE 100",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404311",
            "telephone_number": "650-968-3535",
            "fax_number": "650-968-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SOUTH DR",
            "address_2": "STE 100",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404311",
            "telephone_number": "650-968-3535",
            "fax_number": "650-968-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-ECON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "YABUMOTO",
        "authorized_official_first_name": "NORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-968-3535",
        "authorized_official_credential": "RPH"
    },
    "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": "PHY32473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0566628",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA324730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECONOMED PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.