Active NPI
Sara Pathiyil Thomas
- Pharmacist
- San Jose, CA
National Provider Identifier
1649937871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 85089
- Practice address
- 1811 Hillsdale Ave
San Jose, CA 95124-3027 - Phone
- (408) 265-3253
- NPI assigned
- Nov 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 85089 | CA | Primary |
Addresses
Primary practice location
1811 Hillsdale Ave
San Jose, CA 95124-3027
Mailing address
1634 Sundown LN
San Jose, CA 95127-4557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85089 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637539200000",
"number": "1649937871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1634 SUNDOWN LN",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951274557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 HILLSDALE AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951243027",
"telephone_number": "408-265-3253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATHIYIL THOMAS",
"first_name": "SARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-22",
"last_updated": "2021-11-22",
"certification_date": "2021-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "85089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.