Organization Active NPI

Bay Area Pharmacy

  • Pharmacy
  • San Jose, CA
National Provider Identifier
1952923591
Registry record updated May 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
BAY AREA PHARMACY
Practice address
2519 S King Rd
San Jose, CA 95122-1825
Phone
(408) 622-8531
Fax
(408) 622-8621
NPI assigned
May 16, 2020
Last updated
May 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2020

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

Authorized official

Name
Dr. Phillip Thelan Pham, PHARM D.NPI 1457048126
Title
Pharmacist/Co-Owner
Phone
(408) 622-8531

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

2519 S King Rd
San Jose, CA 95122-1825

Mailing address

2519 S King Rd
San Jose, CA 95122-1825
Phone (408) 622-8531

National Provider Directory

National Provider Directory

Locations

2519 S King Rd
San Jose, CA 95122
Phone (408) 622-8531

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1589587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589587200000",
    "number": "1952923591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 S KING RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221825",
            "telephone_number": "408-622-8531",
            "fax_number": "408-622-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 S KING RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221825",
            "telephone_number": "408-622-8531",
            "fax_number": "408-622-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-16",
        "last_updated": "2020-05-16",
        "certification_date": "2020-05-16",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "THELAN",
        "authorized_official_title_or_position": "PHARMACIST/CO-OWNER",
        "authorized_official_telephone_number": "408-622-8531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "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 May 16, 2020; 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.