Active NPI
Yameen Ali
- Pharmacist
- San Jose, CA
National Provider Identifier
1700287281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 68865
- Practice address
- 4055 Evergreen Village SQ
San Jose, CA 95135-1748 - Phone
- (408) 826-0341
- Fax
- (408) 826-0342
- NPI assigned
- Sep 15, 2014
- Last updated
- Sep 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 68865 | CA | Primary |
| Pharmacist | 183500000X | 21399 | IA | |
| Pharmacist | 183500000X | 051294840 | IL |
Addresses
Primary practice location
4055 Evergreen Village SQ
San Jose, CA 95135-1748
Mailing address
4055 Evergreen Village SQ
San Jose, CA 95135-1748
Phone (408) 826-0341
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 |
|---|---|---|---|
| 68865 | CA | MD | Pharmacist |
| 21399 | IA | MD | Pharmacist |
| 051294840 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410739200000",
"number": "1700287281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4055 EVERGREEN VILLAGE SQ",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951351748",
"telephone_number": "408-826-0341",
"fax_number": "408-826-0342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4055 EVERGREEN VILLAGE SQ",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951351748",
"telephone_number": "408-826-0341",
"fax_number": "408-826-0342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "YAMEEN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-15",
"last_updated": "2014-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "68865",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "21399",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051294840",
"primary": false
}
],
"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 Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.