Organization Active NPI

Mowry Medical Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Fremont, CA
National Provider Identifier
1740326784
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MOWRY MEDICAL PHARMACY, INC.
Practice address
1999 Mowry Ave
Suite 2a
Fremont, CA 94538-1738
Phone
(510) 793-5011
Fax
(510) 792-9599
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Authorized official

Name
Jasmine Basrai
Title
Ceo
Phone
(510) 793-5011

Specialties & licenses 1

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

Addresses

Primary practice location

1999 Mowry Ave
Suite 2a
Fremont, CA 94538-1738

Mailing address

1999 Mowry Ave
Suite 2a
Fremont, CA 94538-1738
Phone (510) 793-5011

Other names 1

  • Mowry Medical Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201218000809 CA Part B Supplier - Mass Immunization (Roster Biller Only) 6507196730 Practice locations: Fremont, CA

National Provider Directory

National Provider Directory

Locations

1999 Mowry Ave
Ste 2A
Fremont, CA 94538
Phone (510) 792-9599

Practitioners & affiliated clinicians

Practitioners 2

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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549497600000",
    "number": "1740326784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 MOWRY AVE",
            "address_2": "SUITE 2A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381738",
            "telephone_number": "510-793-5011",
            "fax_number": "510-792-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 MOWRY AVE",
            "address_2": "SUITE 2A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381738",
            "telephone_number": "510-793-5011",
            "fax_number": "510-792-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOWRY MEDICAL PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2019-02-07",
        "status": "A",
        "authorized_official_last_name": "BASRAI",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-793-5011"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mowry Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.