Organization Active NPI

Senter Pharmacy Inc

  • Community/Retail Pharmacy
  • San Jose, CA
National Provider Identifier
1679515456
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY47320 Issued in CA
Legal business name
SENTER PHARMACY INC
Practice address
2643 Senter Rd Ste a
San Jose, CA 95111-1184
Phone
(408) 287-4899
Fax
(408) 228-6056
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Len Du, RPHNPI 1760078364
Title
President
Phone
(408) 482-9167

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 PHY47320 CA Primary

Addresses

Primary practice location

2643 Senter Rd Ste a
San Jose, CA 95111-1184

Mailing address

2643 Senter Rd Ste a
San Jose, CA 95111-1184
Phone (408) 287-4899

Other identifiers 2

IdentifierTypeStateIssuer
2114965OtherPK
PHA473200MedicaidCA

Other names 1

  • SENTER PHARMACY Doing business as

National Provider Directory

National Provider Directory

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": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1679515456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2643 SENTER RD STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951111184",
            "telephone_number": "408-287-4899",
            "fax_number": "408-287-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2643 SENTER RD STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951111184",
            "telephone_number": "408-287-4899",
            "fax_number": "408-228-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "DU",
        "authorized_official_first_name": "LEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-482-9167",
        "authorized_official_credential": "RPH"
    },
    "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": "PHY47320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2114965",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA473200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SENTER 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 Feb 20, 2017; 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.