Organization Active NPI

Pharmex, Inc.

  • Durable Medical Equipment & Medical Supplies
  • San Jose, CA
National Provider Identifier
1669515235
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
47387 Issued in CA
Legal business name
PHARMEX, INC.
Practice address
1625 Tully Rd
Suite C
San Jose, CA 95122-2541
Phone
(408) 729-1118
Fax
(408) 729-1119
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Mohamed Marleen
Title
President
Phone
(408) 729-1118

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 20152904 AZ
Durable Medical Equipment & Medical Supplies 332B00000X 47387 CA Primary

Addresses

Primary practice location

1625 Tully Rd
Suite C
San Jose, CA 95122-2541

Mailing address

1625 Tully Rd
Suite C
San Jose, CA 95122-2541
Phone (408) 729-1118

Other identifiers 1

IdentifierTypeStateIssuer
XDME03179MedicaidAZ

National Provider Directory

National Provider Directory

Locations

1625 Tully Rd
Ste C
San Jose, CA 95122
Phone (408) 729-1118

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1669515235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 TULLY RD",
            "address_2": "SUITE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951222541",
            "telephone_number": "408-729-1118",
            "fax_number": "408-729-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 TULLY RD",
            "address_2": "SUITE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951222541",
            "telephone_number": "408-729-1118",
            "fax_number": "408-729-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMEX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "MARLEEN",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-729-1118"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "20152904",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "47387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XDME03179",
            "state": "AZ"
        }
    ],
    "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 Dec 11, 2007; 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.