Individual provider Active NPI

Pinak Gandhi

  • Pharmacist
  • San Jose, CA
National Provider Identifier
1972889244
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
55026 Issued in CA
Practice address
1693 Flanigan Dr Ste 104
San Jose, CA 95121-1683
Phone
(408) 274-6698
Fax
(408) 274-8580
NPI assigned
Oct 31, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 55026 CA Primary

Addresses

Primary practice location

1693 Flanigan Dr Ste 104
San Jose, CA 95121-1683

Mailing address

867 E River Pkwy
Santa Clara, CA 95054-4145
Phone (408) 396-9200

Other practice location 1

2557 Mowry Ave Ste 11
Fremont, CA 94538-1614
Phone (510) 896-8121

Other practice location 2

115 N Jackson Ave Ste 103
San Jose, CA 95116-1924
Phone (408) 259-1000

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

State licenses

LicenseStateTypeSpecialty
55026CAMDDental Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pansmart Inc Current Accepting new patients
Lapansmart Inc CurrentSince Aug 23, 2020 Accepting new patients
Pansmart Inc Current Accepting new patients
Safeway Inc Past Accepting new patients
Safeway Inc Past Accepting new patients

Locations

2557 Mowry Ave
Ste 11
Fremont, CA 94538
Phone (408) 396-9200

1693 Flanigan Dr
Ste 104
San Jose, CA 95121
Phone (408) 274-6698

115 N Jackson Ave
Ste 103
San Jose, CA 95116
Phone (408) 259-1000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1972889244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 E RIVER PKWY",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950544145",
            "telephone_number": "408-396-9200",
            "fax_number": "408-274-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1693 FLANIGAN DR STE 104",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211683",
            "telephone_number": "408-274-6698",
            "fax_number": "408-274-8580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2557 Mowry Ave Ste 11",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945381614",
            "country_code": "US",
            "telephone_number": "510-896-8121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 N Jackson Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951161924",
            "country_code": "US",
            "telephone_number": "408-259-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "PINAK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-31",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "55026",
            "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 Sep 8, 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.