DROGUERIA SAN JOSE INC (NPI# 1184178063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184178063 |
| Entity Type | Organization |
| Organization Name | DROGUERIA SAN JOSE INC |
| Other Organization Name | GARCIACARE |
| Practice Address |
25 N 14th St Ste 168 San Jose CA 95112-6204 |
| Practice Telephone | 4082510205 |
| Mailing Telephone | 4082510205 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2019-05-08 |
| Authorized Official Name | JAMES DANIEL WONG (CEO/SEC/CFO) |
| Authorized Official Telephone | 4082510205 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2162510 | 01 |
| Other Name | Type Code |
|---|---|
| Garciacare | Doing Business As Name - Organization |
| Tropicana Drugs Long Term Care | Doing Business As Name - Organization |
| Tropicana Drugs Long Term Care | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356902654 | Drogueria San Jose Inc | Pharmacy | 25 N 14th St Ste 168, San Jose, CA 95112-6204 | 2019-06-26 |
| Street Address |
25 N 14TH ST STE 168 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95112-6204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902441892 | Dynah Barte | Pharmacist | 25 N 14th St Ste 168, San Jose, CA 95112-6204 | 2019-11-14 |
| 1356902654 | Drogueria San Jose Inc | Pharmacy | 25 N 14th St Ste 168, San Jose, CA 95112-6204 | 2019-06-26 |
| 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 |
| Find all providers in zip 95112 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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] |
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|---|---|---|---|---|
| 1023660875 | Farmacia San Jose LLC | Pharmacy | 25 N 14th St Ste 110, San Jose, CA 95112-6208 | 2019-07-11 |
| 1538186465 | Friendly Pharmacy Incorporated | Pharmacy | 485 Lewis Rd Ste D, San Jose, CA 95111-2196 | 2006-07-16 |
| 1417567413 | Mckee Medical Pharmacy Inc | Pharmacy | 2350 Mckee Rd Ste A3, San Jose, CA 95116-1617 | 2020-08-04 |
| 1912561531 | Linda Rx Pharmacy Inc | Pharmacy | 1569 Lexann Ave Ste 130, San Jose, CA 95121-1794 | 2019-04-29 |
| 1689139735 | Pansmart Inc | Pharmacy | 1693 Flanigan Dr Ste 104, San Jose, CA 95121-1683 | 2019-02-04 |
| 1992020028 | Jackson Ltc Pharmacy Inc. | Pharmacy | 266 N Jackson Ave, 8b, San Jose, CA 95116-1606 | 2010-03-31 |
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| 1629604368 | Jafa Pharmaceuticals, Inc. | Pharmacy | 95 Montgomery Dr Ste 108, Santa Rosa, CA 95404-6617 | 2020-03-13 |
| 1669019113 | Shanzo Inc | Pharmacy | 6255 University Ave Ste A1, San Diego, CA 92115-5727 | 2019-12-03 |
| 1265077283 | Western Pharmacy Group LLC | Pharmacy | 610 Gateway Center Way Ste H-i, San Diego, CA 92102-4533 | 2019-11-13 |
| 1083255129 | Desert Best Pharmacy, Inc. | Pharmacy | 170 E Tahquitz Canyon Way, Palm Springs, CA 92262-6431 | 2019-09-30 |
| Find all providers with the same taxonomy | ||||
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| 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.