Organization Active NPI

Patient Centric Pharmacy Services

  • Community/Retail Pharmacy
  • San Mateo, CA
National Provider Identifier
1881094530
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
51988 Issued in CA
Legal business name
PATIENT CENTRIC PHARMACY SERVICES
Practice address
9 37TH Ave
San Mateo, CA 94403-4404
Phone
(650) 827-5277
Fax
(650) 817-7227
NPI assigned
Aug 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
Dr. Alvin Lee, PHARM D
Title
Member/President
Phone
(650) 827-5277

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 51988 CA
Community/Retail Pharmacy 3336C0003X 51988 CA Primary
Long Term Care Pharmacy 3336L0003X 51988 CA

Addresses

Primary practice location

9 37TH Ave
San Mateo, CA 94403-4404

Mailing address

9 37TH Ave
San Mateo, CA 94403-4404
Phone (650) 827-5277

Other identifiers 1

IdentifierTypeStateIssuer
6638740MedicaidCA

Other names 1

  • San Mateo Neighborhood 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": "1409443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1881094530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 37TH AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944034404",
            "telephone_number": "650-827-5277",
            "fax_number": "650-817-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 37TH AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944034404",
            "telephone_number": "650-827-5277",
            "fax_number": "650-817-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT CENTRIC PHARMACY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-31",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_title_or_position": "MEMBER/PRESIDENT",
        "authorized_official_telephone_number": "650-827-5277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "51988",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "51988",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "51988",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6638740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Mateo Neighborhood Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.