MEDICAL PAVILION PHARMACY
NPI 1205972254
Pharmacy - Community/Retail Pharmacy in Gilroy, CA

Q: What is Medical Pavilion Pharmacy, Inc.'s NPI number?

The NPI number for Medical Pavilion Pharmacy, Inc. is 1205972254. It was assigned to this organization in the NPPES registry on January 29, 2007. The provider is doing business as Medical Pavilion Pharmacy.

Q: What is Medical Pavilion Pharmacy, Inc.'s specialty?

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

Active since January 29, 2007CLIA 05D2198465 · Waiver

9460 NO NAME UNO, SUITE 100, GILROY, CA 95020(408) 842-2001(408) 842-7141 Get Directions Write a Review

NPPES record last updated: February 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Medical Pavilion Pharmacy NPPES

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

MEDICAL PAVILION PHARMACY (NPI 1205972254) is a healthcare organization registered as a community/retail pharmacy in Gilroy, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through November 1, 2026 and lists Jasmine Basrai, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205972254

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMEDICAL PAVILION PHARMACY, INC.

Location Address9460 NO NAME UNO, SUITE 100Gilroy, CA 95020-3537

Mailing Address9460 No Name Uno, Suite 100Gilroy, CA 95020-3537 · (408) 842-2001 · Fax (408) 842-7141

Phone(408) 842-2001

Fax(408) 842-7141

Organization SubpartNo

Authorized OfficialJasmine BasraiCeo · (408) 842-2001

Enumeration DateJanuary 29, 2007

Last NPPES UpdateFebruary 7, 2019

✔ NPI 1205972254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

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.

9460 NO NAME UNO, Gilroy, CA 95020

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Other Names 1

Doing Business AsMedical Pavilion Pharmacy

Other Identifiers 1

Other47105CA · Board Of Pharmacy Permit

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 05D2198465

Medical Paillion Pharmacy · Gilroy, CA

Active · expires Nov 1, 2026

CLIA Number05D2198465

Laboratory TypePharmacy

Certificate Effective DateNovember 2, 2024

Certificate Expiration DateNovember 1, 2026

Laboratory DirectorDavid Kieu

Laboratory Phone(408) 842-2001

Laboratory LocationMedical Paillion Pharmacy9460 No Name Uno Ste 100, Gilroy, CA 95020

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

18 services18 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

13 services13 patients

Other Providers at the Same Location NPPES 8

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

SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

9460 NO NAME UNO, SUITE 110
GILROY, CA 95020

Santa Clara County (408) 797-2500

A WOMAN FOR WOMEN MEDICAL GROUP INC

Obstetrics & Gynecology

9460 NO NAME UNO, #245
GILROY, CA 95020

Santa Clara County (408) 847-4200

LEON LUBIANKER MD INC

Dermatology

9460 NO NAME UNO, SUITE 210
GILROY, CA 95020

Santa Clara County (408) 847-0888

DR. SMITHA KUMAR MD

Family Medicine

9460 NO NAME UNO, 115
GILROY, CA 95020

Santa Clara County (408) 842-3133

GILROY FAMILY MEDICAL GROUP, INC

Family Medicine

9460 NO NAME UNO, #115
GILROY, CA 95020

Santa Clara County (408) 842-3133

GILROY ENDOSCOPY CENTER LLC

Clinic/Center (Ambulatory Surgical)

9460 NO NAME UNO, SUITE 130
GILROY, CA 95020

Santa Clara County (408) 847-1311

ZOLLINGER PHYSICAL THERAPY

Physical Therapist

9460 NO NAME UNO, SUITE 140
GILROY, CA 95020

Santa Clara County (408) 847-0107

KEVIN D STUART MD

Internal Medicine (Gastroenterology)

9460 NO NAME UNO, SUITE 130
GILROY, CA 95020

Santa Clara County (408) 847-1311

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 Medical Pavilion Pharmacy, Inc.'s NPI number?

The NPI number for Medical Pavilion Pharmacy, Inc. is 1205972254. It was assigned to this organization in the NPPES registry on January 29, 2007. The provider is doing business as Medical Pavilion Pharmacy.

Where is Medical Pavilion Pharmacy, Inc. located?

Medical Pavilion Pharmacy, Inc. is located at 9460 No Name Uno Suite 100, Gilroy, CA 95020. The listed phone number is (408) 842-2001.

What is Medical Pavilion Pharmacy, Inc.'s specialty?

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

Does Medical Pavilion Pharmacy, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2198465) is associated with this NPI, valid through November 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medical Pavilion Pharmacy, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Medical Pavilion Pharmacy, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medical Pavilion Pharmacy, Inc. was last updated on February 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.