Organization Active NPI

Baypharmacy II a Professional Corp

  • Community/Retail Pharmacy
  • San Jose, CA
National Provider Identifier
1629391602
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY50122 Issued in CA
Legal business name
BAYPHARMACY II A PROFESSIONAL CORP
Practice address
1661 Burdette Dr
Ste Ab
San Jose, CA 95121-1613
Phone
(408) 223-0180
Fax
(408) 223-2366
NPI assigned
Mar 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Authorized official

Name
Bay NguyenNPI 1740276195
Title
President
Phone
(408) 223-0180

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)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY50122 CA Primary

Addresses

Primary practice location

1661 Burdette Dr
Ste Ab
San Jose, CA 95121-1613

Mailing address

1661 Burdette Dr
Ste Ab
San Jose, CA 95121-1613
Phone (408) 223-0180

Other identifiers 1

IdentifierTypeStateIssuer
2124240OtherPK

Other names 1

  • BAY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1661 Burdette Dr
Ste Ab
San Jose, CA 95121
Phone (408) 223-0180

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1629391602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 BURDETTE DR",
            "address_2": "STE AB",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211613",
            "telephone_number": "408-223-0180",
            "fax_number": "408-223-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 BURDETTE DR",
            "address_2": "STE AB",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211613",
            "telephone_number": "408-223-0180",
            "fax_number": "408-223-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYPHARMACY II A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-05",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "BAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-223-0180"
    },
    "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": "PHY50122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2124240",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAY 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 Aug 10, 2016; 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.