Active NPI
Christin Pansawira, RPH
- Pharmacist
- San Jose, CA
National Provider Identifier
1922552082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 71481
- Practice address
- 1405 Foxworthy Ave
San Jose, CA 95118-1119 - Phone
- (408) 264-0371
- NPI assigned
- Aug 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 71481 | CA | Primary |
Addresses
Primary practice location
1405 Foxworthy Ave
San Jose, CA 95118-1119
Mailing address
1405 Foxworthy Ave
San Jose, CA 95118-1119
Phone (408) 264-0371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Store California LLC | Past | Accepting new patients | |
| Longs Drug Stores California LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- San Jose, CA
- NPI 1336182666
-
- Pharmacy
- Kapolei, HI
- NPI 1700565793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470441600000",
"number": "1922552082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 FOXWORTHY AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951181119",
"telephone_number": "408-264-0371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 FOXWORTHY AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951181119",
"telephone_number": "408-264-0371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANSAWIRA",
"first_name": "CHRISTIN",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-06",
"last_updated": "2016-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "71481",
"primary": true
}
],
"identifiers": [],
"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 Aug 6, 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.