Organization Active NPI

SCV Pharmaceuticals Inc.

  • Community/Retail Pharmacy
  • San Jose, CA
National Provider Identifier
1720153133
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
SRGH 26-102774 Issued in CA
Legal business name
SCV PHARMACEUTICALS INC.
Practice address
1211 Meridian Ave
San Jose, CA 95125-5210
Phone
(408) 266-7000
Fax
(408) 266-1614
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Alexander Frederick Demetro, PHARM.D.
Title
Pharmacist
Phone
(408) 266-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X SRGH 26-102774 CA Primary

Addresses

Primary practice location

1211 Meridian Ave
San Jose, CA 95125-5210

Mailing address

1211 Meridian Ave
San Jose, CA 95125-5210
Phone (408) 266-7000

Other identifiers 2

IdentifierTypeStateIssuer
PHA 199910MedicaidCA
054-6284OtherNABP

Other names 1

  • Westwood Prescriptionists Doing business as

National Provider Directory

National Provider Directory

Locations

1211 Meridian Ave
San Jose, CA 95125
Phone (408) 266-7000

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720153133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 MERIDIAN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255210",
            "telephone_number": "408-266-7000",
            "fax_number": "408-266-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 MERIDIAN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255210",
            "telephone_number": "408-266-7000",
            "fax_number": "408-266-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCV PHARMACEUTICALS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEMETRO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "408-266-7000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "SRGH 26-102774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA 199910",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "054-6284",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westwood Prescriptionists",
            "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 Aug 22, 2020; 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.