Organization Active NPI

Satyam Healthcare Inc

  • Community/Retail Pharmacy
  • San Jose, CA
National Provider Identifier
1952442477
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
51079 Issued in CA
Legal business name
SATYAM HEALTHCARE INC
Doing business as
SAVCO PHARMACY
Practice address
455 Oconnor Dr Ste 190
San Jose, CA 95128-1632
Phone
(408) 298-6190
Fax
(408) 271-1368
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Authorized official

Name
Jwalant Patel
Title
President
Phone
(408) 298-6190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 51079 CA Primary

Addresses

Primary practice location

455 Oconnor Dr Ste 190
San Jose, CA 95128-1632

Mailing address

455 Oconnor Dr Ste 190
San Jose, CA 95128-1632
Phone (408) 298-6190

Other identifiers 1

IdentifierTypeStateIssuer
0579726OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • SAVCO PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20151222002846 CA Part B Supplier - Mass Immunization (Roster Biller Only) 2062713761 Practice locations: San Jose, CA
O20220802001644 CA Part B Supplier - Independent Clinical Laboratory 2062713761 Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1952442477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 OCONNOR DR STE 190",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281632",
            "telephone_number": "408-298-6190",
            "fax_number": "408-271-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 OCONNOR DR STE 190",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281632",
            "telephone_number": "408-298-6190",
            "fax_number": "408-271-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATYAM HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JWALANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-298-6190"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "51079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0579726",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAVCO 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 Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.