Organization Active NPI

Nam Pharmacy

  • Community/Retail Pharmacy
  • San Jose, CA
National Provider Identifier
1750408837
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NAM PHARMACY
Practice address
804 East Julian St
Suite C
San Jose, CA 95112-1809
Phone
(408) 295-6111
Fax
(408) 295-6012
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Mrs. Hien Quy Pham, RPHNPI 1821094814
Title
Owner Manager
Phone
(408) 295-6111

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 1

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

Addresses

Primary practice location

804 East Julian St
Suite C
San Jose, CA 95112-1809

Mailing address

804 East Julian St
Suite C
San Jose, CA 95112-1809
Phone (408) 295-6111

Other identifiers 1

IdentifierTypeStateIssuer
PHA394400MedicaidCA

National Provider Directory

National Provider Directory

Locations

804 E Julian St
Ste C
San Jose, CA 95112
Phone (408) 295-6111

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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1750408837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 EAST JULIAN ST",
            "address_2": "SUITE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951121809",
            "telephone_number": "408-295-6111",
            "fax_number": "408-295-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 EAST JULIAN ST",
            "address_2": "SUITE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951121809",
            "telephone_number": "408-295-6111",
            "fax_number": "408-295-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAM PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "HIEN",
        "authorized_official_middle_name": "QUY",
        "authorized_official_title_or_position": "OWNER  MANAGER",
        "authorized_official_telephone_number": "408-295-6111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA394400",
            "state": "CA"
        }
    ],
    "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 Nov 16, 2007; 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.