Active NPI
KC Pharmacy Corporation
- Community/Retail Pharmacy
- San Jose, CA
National Provider Identifier
1508403841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- KC PHARMACY CORPORATION
- Practice address
- 2060 Aborn Rd Ste 150B
San Jose, CA 95121-1587 - Phone
- (408) 400-4755
- Fax
- (408) 868-2326
- NPI assigned
- Dec 5, 2019
- 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. Nhuong Kich Le, PHARM D
- Title
- Owner, President, Ceo
- Phone
- (602) 596-9958
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
2060 Aborn Rd Ste 150B
San Jose, CA 95121-1587
Mailing address
2060 Aborn Rd Ste 150B
San Jose, CA 95121-1587
Phone (408) 400-4755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57447 | Other | CA | BOARD OF PHARMACY LICENSE |
Other names 1
- KC Pharmacy
National Provider Directory
National Provider DirectoryLocations
2060 Aborn Rd
Ste 150B
San Jose, CA 95121
Phone (408) 400-4755
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- San Jose, CA
- NPI 1477110153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576281600000",
"number": "1508403841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2060 ABORN RD STE 150B",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951211587",
"telephone_number": "408-400-4755",
"fax_number": "408-868-2326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 ABORN RD STE 150B",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951211587",
"telephone_number": "408-400-4755",
"fax_number": "408-868-2326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KC PHARMACY CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-05",
"last_updated": "2019-12-14",
"certification_date": "2019-12-14",
"status": "A",
"authorized_official_last_name": "LE",
"authorized_official_first_name": "NHUONG",
"authorized_official_middle_name": "KICH",
"authorized_official_title_or_position": "OWNER, PRESIDENT, CEO",
"authorized_official_telephone_number": "602-596-9958",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY LICENSE",
"identifier": "57447",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "KC Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "KC 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 Dec 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.