Active NPI
Pharmex, Inc.
- Durable Medical Equipment & Medical Supplies
- San Jose, CA
National Provider Identifier
1669515235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 47387
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XDME03179 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
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.