NPIMap

Organization Active NPI

Farmacia Remedios Inc

  • Community/Retail Pharmacy
  • San Jose, CA
National Provider Identifier
1679646202
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY48288 Issued in CA
Legal business name
FARMACIA REMEDIOS INC
Practice address
201 Willow St
San Jose, CA 95110-3352
Phone
(408) 920-0781
Fax
(408) 920-0782
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Ben Singer
Title
Coo
Phone
(415) 377-5525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY48288 CA Primary

Addresses

Primary practice location

201 Willow St
San Jose, CA 95110-3352

Mailing address

201 Willow St
San Jose, CA 95110-3352
Phone (408) 920-0781

Other identifiers 2

IdentifierTypeStateIssuer
5624526OtherNCPDP PROVIDER IDENTIFICATION NUMBER
PHA487270MedicaidCA

Other names 1

  • FARMACIA REMEDIOS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Farmacia Remedios Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1679646202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WILLOW ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951103352",
            "telephone_number": "408-920-0781",
            "fax_number": "408-920-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WILLOW ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951103352",
            "telephone_number": "408-920-0781",
            "fax_number": "408-920-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA REMEDIOS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "SINGER",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "415-377-5525"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5624526",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA487270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA REMEDIOS",
            "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 Oct 26, 2011; 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.