1. Home
  2. Directory
  3. Texas
  4. Rosenberg
  5. Pharmacy
  6. NPI Profile

SAN JOSE CLINIC
NPI 1043099328
Pharmacy in Rosenberg, TX

Active since September 26, 2023CLIA Certified · 2 labs
117 LANE DR STE 31, ROSENBERG, TX 77471(832) 945-6244 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About San Jose Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN JOSE CLINIC (NPI 1043099328) is a healthcare organization registered as a pharmacy in Rosenberg, Texas and active in the NPI registry since September 2023. The organization holds 2 active CLIA laboratory certificates and lists Tammy Perez Chiu, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1043099328
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameSAN JOSE CLINIC
Location Address117 LANE DR STE 31Rosenberg, TX 77471-2263
Mailing Address2615 Fannin StHouston, TX 77002-9224
Phone(832) 945-6244
Organization SubpartYes
Authorized OfficialTammy Perez ChiuPharmacist In Charge · (414) 758-6046
Enumeration DateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
✔ NPI 1043099328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
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.
117 LANE DR STE 31, Rosenberg, TX 77471
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0489337

San Jose Clinic · Houston, TX
Active · expires May 23, 2028
CLIA Number45D0489337
Laboratory TypeCharitable Non Profit
Certificate Effective DateMay 24, 2026
Certificate Expiration DateMay 23, 2028
Laboratory DirectorMichael Rytting
Laboratory Phone(713) 490-2617
Laboratory LocationSan Jose Clinic2615 Fannin St, Houston, TX 77002
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2171406

San Jose Clinic- Rosenberg · Rosenberg, TX
Active · expires Aug 28, 2027
CLIA Number45D2171406
Laboratory TypeNon-Profit
Certificate Effective DateAugust 29, 2025
Certificate Expiration DateAugust 28, 2027
Laboratory DirectorMichael Rytting
Laboratory Phone(713) 490-2617
Laboratory LocationSan Jose Clinic- Rosenberg1615 Avenue E, Rosenberg, TX 77471
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIAM PHILIP PHARMD
Pharmacist
117 LANE DR STE 31
ROSENBERG, TX 77471
Fort Bend County (832) 945-6244

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Jose Clinic's NPI number?

The NPI number for San Jose Clinic is 1043099328. It was assigned to this organization in the NPPES registry on September 26, 2023.

Where is San Jose Clinic located?

San Jose Clinic is located at 117 Lane Dr Ste 31, Rosenberg, TX 77471. The listed phone number is (832) 945-6244.

What is San Jose Clinic's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does San Jose Clinic hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for San Jose Clinic was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.