TULLY MEDICAL CLINIC PHARMACY - NPI 1689700080

Q: What is Tully Clinic Pharmacy's NPI number?

The NPI number for Tully Clinic Pharmacy is 1689700080. It was assigned to this organization in the NPPES registry on February 27, 2007. The provider is doing business as Tully Medical Clinic Pharmacy.

Q: What is Tully Clinic Pharmacy's specialty?

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

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About Tully Medical Clinic Pharmacy NPPES

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

TULLY MEDICAL CLINIC PHARMACY (NPI 1689700080) is a healthcare organization registered as a community/retail pharmacy in San Jose, California and active in the NPI registry since February 2007. The organization lists Dai Vo, Pic And President, as its authorized official.

NPPES Registry Identity

NPI1689700080

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameTULLY CLINIC PHARMACY

Location Address1693 FLANIGAN DR, STE 104San Jose, CA 95121-1683

Mailing Address1693 Flanigan Dr, Ste 104San Jose, CA 95121-1683 · (408) 274-6698 · Fax (408) 274-8580

Phone(408) 274-6698

Fax(408) 274-8580

Organization SubpartNo

Authorized OfficialDai VoPic And President · (408) 274-6698

Enumeration DateFebruary 27, 2007

Last NPPES UpdateNovember 15, 2011

✔ NPI 1689700080 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 · PHY35754

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

1693 FLANIGAN DR, San Jose, CA 95121

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Other Names 1

Doing Business AsTully Medical Clinic Pharmacy

Other Identifiers 3

Other0598536Ncpdp Provider Identification Number

MedicaidPHA357540CA

Medicare NSC5528310001

Other Providers at the Same Location NPPES 6

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

DUNG MY PHAN MD INC

Family Medicine

1693 FLANIGAN DR, SUITE #100
SAN JOSE, CA 95121

Santa Clara County (408) 274-3881

DR. VAN THI THANH NGUY DDS

Dentist

1693 FLANIGAN DR, #102
SAN JOSE, CA 95121

Santa Clara County (408) 270-4849

DR. SCHAUN CHAN GABUCAN DMD

Dentist

1693 FLANIGAN DR, SUITE 103
SAN JOSE, CA 95121

Santa Clara County (408) 315-1181

PANSMART INC

Pharmacy (Community/Retail Pharmacy)

1693 FLANIGAN DR, 104
SAN JOSE, CA 95121

Santa Clara County (408) 274-6698

DR. AN THI PHAM M.D.

Pediatrics

1693 FLANIGAN DR, SUITE # 101
SAN JOSE, CA 95121

Santa Clara County (408) 274-1339

MRS. DUNG MY PHAN MD

Family Medicine

1693 FLANIGAN DR, #100
SAN JOSE, CA 95121

Santa Clara County (408) 274-3881

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 Tully Clinic Pharmacy's NPI number?

The NPI number for Tully Clinic Pharmacy is 1689700080. It was assigned to this organization in the NPPES registry on February 27, 2007. The provider is doing business as Tully Medical Clinic Pharmacy.

Where is Tully Clinic Pharmacy located?

Tully Clinic Pharmacy is located at 1693 Flanigan Dr Ste 104, San Jose, CA 95121. The listed phone number is (408) 274-6698.

What is Tully Clinic Pharmacy'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 Tully Clinic Pharmacy was last updated on November 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.