Pramukh Healthcare LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

52488 Issued in CA

Legal business name

PRAMUKH HEALTHCARE LLC

Doing business as

Blossom Hill Pharmacy

Practice address

393 Blossom Hill Rd Ste 101
San Jose, CA 95123-1653

Phone

(408) 224-8192

Fax

(408) 224-8173

NPI assigned

Aug 17, 2012

Organization subpart

No

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

Authorized official

Name

Sandra Scott

Title

Delegated Official,Ao

Phone

(832) 646-5119

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Blossom Hill Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Purvi Jimit Maheta

  • Pharmacist
  • San Jose, CA
  • NPI 1609126770
  NPD (past)

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1750639035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1047",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774060027",
            "telephone_number": "281-232-3940",
            "fax_number": "832-595-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 BLOSSOM HILL RD STE 101",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231653",
            "telephone_number": "408-224-8192",
            "fax_number": "408-224-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAMUKH HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-17",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL,AO",
        "authorized_official_telephone_number": "832-646-5119"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "52488",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151607",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blossom Hill Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Venlin Prakash
• Saurabh Prakash, MD, PHD
• Amrutha Prakasha
• Sharmila Bose Pramanik, MD
• Sulochana Pramanik, MD
• John M Pranys
• Anupam Prasad, D.D.S.
• Nita Prasad, LMFT
• Puja Robin Prasad
• Ritika Prasad

• Community/Retail Pharmacy in San Jose, CA
• Providers in San Jose, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.