Organization Active NPI

Friendly Pharmacy Incorporated

  • Long Term Care Pharmacy
  • San Jose, CA
National Provider Identifier
1538186465
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
FRIENDLY PHARMACY INCORPORATED
Doing business as
Friendly #1 Pharmacy
Practice address
485 Lewis Rd Ste D
San Jose, CA 95111-2196
Phone
(408) 226-0200
Fax
(408) 226-0201
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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/Pharmacist Staff
Phone
(408) 226-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

485 Lewis Rd Ste D
San Jose, CA 95111-2196

Mailing address

485 Lewis Rd Ste D
San Jose, CA 95111-2196
Phone (408) 226-0200

Other identifiers 1

IdentifierTypeStateIssuer
PHA468330MedicaidCA

Other names 1

  • Friendly #1 Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

485 Lewis Rd
Ste D
San Jose, CA 95111
Phone (408) 226-0200

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1538186465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 LEWIS RD STE D",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951112196",
            "telephone_number": "408-226-0200",
            "fax_number": "408-226-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 LEWIS RD STE D",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951112196",
            "telephone_number": "408-226-0200",
            "fax_number": "408-226-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY PHARMACY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "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/PHARMACIST STAFF",
        "authorized_official_telephone_number": "408-226-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA468330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendly #1 Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Friendly #1 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.