Organization Active NPI

Dana Jo Gove

Doing business as South Valley Pharmacy Services

  • Long Term Care Pharmacy
  • Gilroy, CA
National Provider Identifier
1891809869
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHY47540 Issued in CA
Legal business name
DANA JO GOVE
Doing business as
South Valley Pharmacy Services
Practice address
7496 Eigleberry St
Gilroy, CA 95020-5712
Phone
(408) 847-6160
Fax
(408) 847-7878
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Authorized official

Name
Dana Gove, BS OF SCIENCE
Title
Owner
Phone
(408) 847-6160

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Long Term Care Pharmacy 3336L0003X PHY47540 CA Primary

Addresses

Primary practice location

7496 Eigleberry St
Gilroy, CA 95020-5712

Mailing address

7496 Eigleberry St
Gilroy, CA 95020-5712
Phone (408) 847-6160

Other identifiers 2

IdentifierTypeStateIssuer
PHA475400MedicaidCA
2103346OtherPK

Other names 1

  • SOUTH VALLEY PHARMACY SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

7496 Eigleberry St
Gilroy, CA 95020
Phone (408) 847-6160

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1891809869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7496 EIGLEBERRY ST",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950205712",
            "telephone_number": "408-847-6160",
            "fax_number": "408-847-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7496 EIGLEBERRY ST",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950205712",
            "telephone_number": "408-847-6160",
            "fax_number": "408-847-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA JO GOVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "GOVE",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-847-6160",
        "authorized_official_credential": "BS OF SCIENCE"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY47540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA475400",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2103346",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH VALLEY PHARMACY SERVICES",
            "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 Dec 9, 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.