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SAN JOSE PHARMACY
NPI 1104043207
Pharmacy - Community/Retail Pharmacy in San Jose, CA

Active since April 19, 2007
567 E SANTA CLARA ST, SAN JOSE, CA 95112(408) 280-0797(408) 280-0798 Get Directions Write a Review

NPPES record last updated: May 12, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About San Jose Pharmacy NPPES

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

SAN JOSE PHARMACY (NPI 1104043207) is a healthcare organization registered as a community/retail pharmacy in San Jose, California and active in the NPI registry since April 2007. The organization lists Loan Tu Nguyen Pham, Pic, as its authorized official.

NPPES Registry Identity

NPI1104043207
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHUNG DO PHAM
Location Address567 E SANTA CLARA STSan Jose, CA 95112-2014
Mailing Address567 E Santa Clara StSan Jose, CA 95112-2014
Phone(408) 280-0797
Fax(408) 280-0798
Organization SubpartNo
Authorized OfficialLoan Tu Nguyen PhamPic · (408) 280-0797
Enumeration DateApril 19, 2007
Last NPPES UpdateMay 12, 2009
✔ NPI 1104043207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY40015
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.
Also ListedPharmacyTaxonomy 333600000X
567 E SANTA CLARA ST, San Jose, CA 95112
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Other Names 1

Doing Business AsSan Jose Pharmacy

Other Identifiers 3

Other0549901Ncpdp Provider Identification Number
MedicaidPHA400150CA
Medicare NSC5564910001

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 Hung Do Pham's NPI number?

The NPI number for Hung Do Pham is 1104043207. It was assigned to this organization in the NPPES registry on April 19, 2007. The provider is doing business as San Jose Pharmacy.

Where is Hung Do Pham located?

Hung Do Pham is located at 567 E Santa Clara St, San Jose, CA 95112. The listed phone number is (408) 280-0797.

What is Hung Do Pham's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Hung Do Pham was last updated on May 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.