PRAMUKH HEALTHCARE LLC (NPI# 1750639035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750639035 |
Entity Type | Organization |
Organization Name | PRAMUKH HEALTHCARE LLC |
Other Organization Name | BLOSSOM HILL PHARMACY |
Practice Address |
393 Blossom Hill Rd Ste 101 San Jose CA 95123-1653 |
Mailing Address |
Po Box 1047 Richmond TX 77406-0027 |
Practice Telephone | 4082248192 |
Practice Fax Number | 4082248173 |
Mailing Telephone | 2812323940 |
Mailing Fax Number | 8325951203 |
Enumeration Date | 2012-08-17 |
Last Update Date | 2016-10-05 |
Authorized Official Name | SANDRA SCOTT (DELEGATED OFFICIAL,AO) |
Authorized Official Telephone | 8326465119 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
52488 | CA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2151607 | 01 |
Other Name | Type Code |
---|---|
Blossom Hill Pharmacy | Doing Business As Name - Organization |
Street Address |
393 BLOSSOM HILL RD STE 101 |
City | SAN JOSE |
State | CA |
Zip Code | 95123-1653 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609126770 | Purvi Jimit Maheta | Pharmacist | 393 Blossom Hill Rd Ste 101, San Jose, CA 95123-1653 | 2012-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700441045 | Calvin Patrick Nell | Chiropractor | 5570 Sanchez Drive, Ste 100, San Jose, CA 95123 | 2019-05-02 |
1629557152 | Jia Tian | Dentist | 393 Blossom Hill Rd Ste 150, San Jose, CA 95123 | 2018-08-06 |
1003306176 | Western Dental Services, Inc. | Dentist | 451 Blossom Hill Rd Suite 20, San Jose, CA 95123 | 2018-05-15 |
1871004945 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5411 Thornwood Dr, San Jose, CA 95123 | 2017-10-17 |
1437672953 | Mie Mie Chiu | Dietitian, Registered | 276 Palm Valley Blvd #205, San Jose, CA 95123 | 2017-07-18 |
1902335300 | Alfredo Fernandez | Counselor | 5898 Paddon Circle, San Jose, CA 95123 | 2017-06-08 |
1780115444 | Christopher Vi Tran | Case Manager/Care Coordinator | 5579 Lean Avenue, San Jose, CA 95123 | 2017-03-24 |
1205370004 | Linxi Wu | Acupuncturist | 6064 Cahalan Ave, San Jose, CA 95123 | 2016-12-13 |
1013307651 | Kevin Dizon | Dental Hygienist | 6071 Sunstone Drive, San Jose, CA 95123 | 2015-02-04 |
1285031294 | Katie Tran | Dental Assistant | 524 Glenburry Way, San Jose, CA 95123 | 2014-11-20 |
Find all providers in zip 95123 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
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] |
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 |
Find all providers in SAN JOSE |
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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.