PRAMUKH HEALTHCARE LLC


Address: 393 Blossom Hill Rd Ste 101, San Jose, CA 95123-1653
Phone: 4082248192

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
PK 2151607 01

Other Provider/Organization Names

Other Name Type Code
Blossom Hill Pharmacy Doing Business As Name - Organization

Office Location

Street Address 393 BLOSSOM HILL RD STE 101
City SAN JOSE
State CA
Zip Code 95123-1653

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609126770 Purvi Jimit Maheta Pharmacist 393 Blossom Hill Rd Ste 101, San Jose, CA 95123-1653 2012-09-14

Providers in the same zip code

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
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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
Find all providers in SAN JOSE

Competitor

Search similar providers

City SAN JOSE
Zip Code 95123

Improve Information

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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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