NPIMap

Organization Active NPI

Medical Pavilion Pharmacy, Inc.

  • Long Term Care Pharmacy
  • Gilroy, CA
National Provider Identifier
1831884113
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MEDICAL PAVILION PHARMACY, INC.
Practice address
9460 N Name Uno Ste 100
Gilroy, CA 95020-3536
Phone
(408) 842-2001
Fax
(408) 842-7141
NPI assigned
Apr 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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) 797-2772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

9460 N Name Uno Ste 100
Gilroy, CA 95020-3536

Mailing address

9460 N Name Uno Ste 100
Gilroy, CA 95020-3536
Phone (408) 842-2001

Other names 1

  • Medical Pavilion Pharmacy Doing business as

National Provider Directory

National Provider Directory

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": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1831884113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9460 N NAME UNO STE 100",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203536",
            "telephone_number": "408-842-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 N NAME UNO STE 100",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203536",
            "telephone_number": "408-842-2001",
            "fax_number": "408-842-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PAVILION PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "BASRAI",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-797-2772"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Pavilion Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.