Organization Active NPI

Senter Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • San Jose, CA
National Provider Identifier
1871793679
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5740240001 Issued in CA
Legal business name
SENTER PHARMACY
Practice address
2643 Senter Rd
Ste a
San Jose, CA 95111-1184
Phone
(408) 287-4899
Fax
(408) 287-4898
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Len Du, RPH
Title
Owner/RPH
Phone
(408) 287-4899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5740240001 CA Primary

Addresses

Primary practice location

2643 Senter Rd
Ste a
San Jose, CA 95111-1184

Mailing address

2643 Senter Rd
Ste a
San Jose, CA 95111-1184
Phone (408) 287-4899

Other identifiers 1

IdentifierTypeStateIssuer
PHA473200MedicaidCA

Other names 1

  • SENTER PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1871793679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2643 SENTER RD",
            "address_2": "STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951111184",
            "telephone_number": "408-287-4899",
            "fax_number": "408-287-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2643 SENTER RD",
            "address_2": "STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951111184",
            "telephone_number": "408-287-4899",
            "fax_number": "408-287-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "DU",
        "authorized_official_first_name": "LEN",
        "authorized_official_title_or_position": "OWNER/RPH",
        "authorized_official_telephone_number": "408-287-4899",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "5740240001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA473200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 19, 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.