Samaritan Medical Center Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

PHY33985 Issued in CA

Legal business name

SAMARITAN MEDICAL CENTER PHARMACY

Doing business as

Samaritan Pharmacy

Practice address

2505 Samaritan Dr
San Jose, CA 95124-4006

Phone

(408) 356-7111

Fax

(408) 358-6259

NPI assigned

Jun 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Michael Lam, RPH

Title

Pharmacist-in-Charge

Phone

(408) 356-7111

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Samaritan Pharmacy Doing business as

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1487651907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244006",
            "telephone_number": "408-356-7111",
            "fax_number": "408-358-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244006",
            "telephone_number": "408-356-7111",
            "fax_number": "408-358-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN MEDICAL CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "408-356-7111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PHY33985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENCE NUMBER",
            "identifier": "PHY33985",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "05-23274",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY33985",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samaritan Apothecary Pharmacy Inc.
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• Samaritan Family Practice
• Samaritan Hearing Aid Specialist
• Samaritan Internal Medicine Medical Group
• Samaritan Orthopedic & Medical GP. Inc
• Samaritan Plastic Surgery Center, Inc
• Samaritan Podiatry Group Inc.
• Samaritan Surgery Center
• Samaritan Surgical Clinic Inc

• Pharmacist in San Jose, CA
• Providers in San Jose, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.