HUNG DO PHAM


Address: 567 E Santa Clara St, San Jose, CA 95112-2014
Phone: 4082800797

HUNG DO PHAM (NPI# 1104043207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104043207
Entity Type Organization
Organization Name HUNG DO PHAM
Other Organization Name SAN JOSE PHARMACY
Practice Address 567 E Santa Clara St
San Jose
CA 95112-2014
Practice Telephone 4082800797
Practice Fax Number 4082800798
Enumeration Date 2007-04-19
Last Update Date 2009-05-12
Authorized Official Name LOAN TU NGUYEN PHAM (PIC)
Authorized Official Telephone 4082800797
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
PHY40015 CA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP PROVIDER IDENTIFICATION NUMBER 0549901 01
CA PHA400150 05

Other Provider/Organization Names

Other Name Type Code
SAN JOSE PHARMACY Doing Business As Name - Organization

Office Location

Street Address 567 E SANTA CLARA ST
City SAN JOSE
State CA
Zip Code 95112-2014

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104443407 Khady Fall Behavior Technician 408 494 1561, 614 Tully Road, San Jose, CA 95112 2020-07-02
1538791124 Vianey Martinez Social Worker 290 N Second Street, San Jose, CA 95112 2020-02-11
1083254262 Tessa Dobrin Zapalac Behavior Technician 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 2020-01-15
1508404716 Emilie Caitlin Leach Counselor 290 N 2nd St, San Jose, CA 95112 2019-12-18
1699313080 Juan Carlos Mercado Marriage & Family Therapist 290 North 2nd St, San Jose, CA 95112 2019-12-16
1386288017 Path (people Assisting The Homeless) Case Manager/Care Coordinator 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 2019-11-06
1316588528 Loralee Crystal Garcia Technician 546 N. 3rd Street #7, San Jose, CA 95112 2019-09-30
1306316922 Patricia Calatraba Swofford Marriage & Family Therapist 232 E. Gish Rd., San Jose, CA 95112 2018-11-27
1134606932 Ana Alicia Castro-banderas Social Worker 160 E Virginia St., Suite 100, San Jose, CA 95112 2018-07-24
1275035750 Theresa Khong Behavior Technician 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 2018-03-01
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356952618 Dajaju Pharmaceuticals Pharmacy 2611 Senter Rd Ste 100, San Jose, CA 95111-1185 2020-08-11
1285259473 Advance Sj Pharmacy, Inc Pharmacy 2331a Montpelier Dr Ste A-10, San Jose, CA 95116-1614 2020-06-12
1902388697 Downtown Pharmacy Inc Pharmacy 60 N 13th St Ste A, San Jose, CA 95112-3525 2018-08-30
1811490659 Tiffany Thu, Inc. Pharmacy 2323 Montpelier Dr Ste D, San Jose, CA 95116-1611 2018-03-16
1346769395 S4 Pharmacy Inc Pharmacy 3130 Alum Rock Ave, San Jose, CA 95127-2901 2017-09-11
1780062547 Lion Pharmacy Inc Pharmacy 2857 Senter Rd Ste A, San Jose, CA 95111-1100 2015-05-13
1205268984 Icare Pharmacy Pharmacy 1727 Berryessa Rd Ste B, San Jose, CA 95133-1172 2013-08-05
1952532194 Regional Pharmacy Inc. Pharmacy 200 Jose Figueres Ave Ste 235, San Jose, CA 95116-1599 2009-08-06
1427221944 Friendly Pharmacy Incorporated Pharmacy 639 Tully Rd Ste A, San Jose, CA 95111-1000 2008-04-04
1265629802 Farmacia Remedios Inc Pharmacy 996 S King Rd, San Jose, CA 95116-3506 2007-09-27
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Competitor

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City SAN JOSE
Zip Code 95112

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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