SAN JOSE CLINIC
NPI 1043099328
Pharmacy in Rosenberg, TX
NPI Status: Active since September 26, 2023
Contact Information
117 LANE DR STE 31
ROSENBERG, TX
ZIP 77471
Phone: (832) 945-6244
- Organization
- Pharmacy
- CLIA Number: 45D0489337
- CLIA Cert. Type: Other - CHARITABLE NON PROFIT
- CLIA Exp. Date: 05-23-2028
About SAN JOSE CLINIC
This page provides the complete NPI Profile along with additional information for San Jose Clinic, a provider established in Rosenberg, Texas operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1043099328 assigned on September 2023. The practitioner's primary taxonomy code is 333600000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Tammy Perez Chiu (Pharmacist In Charge)
- NPI
- 1043099328
- Provider Name
- SAN JOSE CLINIC
- Entity Type
- Organization
- Location Address
- 117 LANE DR STE 31 ROSENBERG, TX 77471
- Location Phone
- (832) 945-6244
- Mailing Address
- 2615 FANNIN ST HOUSTON, TX 77002
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-26-2023
- Last Update Date
- 09-26-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy
- Taxonomy Code
- 333600000X
- Type
- Suppliers
- Taxonomy Description
- A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D0489337
- Facility Type
- Other - CHARITABLE NON PROFIT
- Certificate Effective Date
- May 24, 2026
- Certificate Expiration Date
- May 23, 2028
- Laboratory Director
- MICHAEL RYTTING
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to San Jose Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1043099328, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043099328, enumerated as an "organization" on September 26, 2023.
The provider is located at 117 LANE DR STE 31 ROSENBERG, TX 77471 and the phone number is (832) 945-6244.
Pharmacy with taxonomy code 333600000X.
