Individual provider Active NPI

Jose Jorge Amador, RPH

  • Pharmacist
  • Fremont, CA
National Provider Identifier
1972883411
Registry record updated Aug 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH40008 Issued in CA
Practice address
43621 Pacific Commons Blvd
Fremont, CA 94538-3809
Phone
(510) 897-1119
Fax
(510) 897-1116
NPI assigned
Aug 27, 2011
Last updated
Aug 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH40008 CA Primary

Addresses

Primary practice location

43621 Pacific Commons Blvd
Fremont, CA 94538-3809

Mailing address

43621 Pacific Commons Blvd
Fremont, CA 94538-3809
Phone (510) 897-1119

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

State licenses

LicenseStateTypeSpecialty
RPH40008CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1314403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314403200000",
    "number": "1972883411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43621 PACIFIC COMMONS BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945383809",
            "telephone_number": "510-897-1119",
            "fax_number": "510-897-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43621 PACIFIC COMMONS BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945383809",
            "telephone_number": "510-897-1119",
            "fax_number": "510-897-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMADOR",
        "first_name": "JOSE",
        "middle_name": "JORGE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-27",
        "last_updated": "2011-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH40008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2011; 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.