Organization Active NPI

Cali Pharmacy

  • Pharmacist
  • San Jose, CA
National Provider Identifier
1831259589
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
45283 Issued in CA
Legal business name
CALI PHARMACY
Practice address
702 E Santa Clara St
Suite 1
San Jose, CA 95112-1920
Phone
(408) 275-0858
Fax
(408) 275-0859
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Mr. Hung Phi PhanNPI 1790782175
Title
Owner
Phone
(408) 275-0858

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
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 45283 CA Primary

Addresses

Primary practice location

702 E Santa Clara St
Suite 1
San Jose, CA 95112-1920

Mailing address

702 E Santa Clara St
Suite 1
San Jose, CA 95112-1920
Phone (408) 275-0858

Other identifiers 1

IdentifierTypeStateIssuer
PHA438820MedicaidCA

National Provider Directory

National Provider Directory

Locations

702 E Santa Clara St
Ste 1
San Jose, CA 95112
Phone (408) 275-0858

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1831259589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 E SANTA CLARA ST",
            "address_2": "SUITE 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951121920",
            "telephone_number": "408-275-0858",
            "fax_number": "408-275-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 E SANTA CLARA ST",
            "address_2": "SUITE 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951121920",
            "telephone_number": "408-275-0858",
            "fax_number": "408-275-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALI PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "HUNG",
        "authorized_official_middle_name": "PHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-275-0858",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "45283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA438820",
            "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 Jul 14, 2008; 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.