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SAN JOSE PHARMACY
NPI 1902056732
Pharmacy - Community/Retail Pharmacy in Glendale, CA

Active since September 29, 2008CLIA 05D2275535 · Waiver
222 W. EULALIA STREET, SUITE 212, GLENDALE, CA 91204(818) 247-3266(818) 247-3267 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2020, Jun 13, 2016 (2 updates tracked since 2016).

About San Jose Pharmacy NPPES

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

SAN JOSE PHARMACY (NPI 1902056732) is a healthcare organization registered as a community/retail pharmacy in Glendale, California and active in the NPI registry since September 2008. The organization holds a CLIA Waiver certificate valid through January 23, 2027 and lists Jeong Ho So, President, as its authorized official.

NPPES Registry Identity

NPI1902056732
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHEALTHMARK PHARMACY, INC.
Location Address222 W. EULALIA STREET, SUITE 212Glendale, CA 91204
Mailing Address222 W. Eulalia Street, Suite 212Glendale, CA 91204 · (818) 247-3266 · Fax (818) 247-3267
Phone(818) 247-3266
Fax(818) 247-3267
Organization SubpartNo
Authorized OfficialJeong Ho SoPresident · (818) 247-3266
Enumeration DateSeptember 29, 2008
Last NPPES UpdateMarch 24, 20222 updates tracked since enumeration
NPPES CertifiedMarch 24, 2022
✔ NPI 1902056732 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 · PHY55919
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
222 W. EULALIA STREET, Glendale, CA 91204
Open in Google Maps ↗

Other Names 1

Doing Business AsSan Jose Pharmacy

Other Identifiers 2

Other2117486Pk
Medicaid1902056732CA

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 05D2275535

San Jose Pharmacy · Glendale, CA
Active · expires Jan 23, 2027
CLIA Number05D2275535
Laboratory TypePharmacy
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorJeongho So
Laboratory Phone(818) 247-3266
Laboratory LocationSan Jose Pharmacy222 W Eulalist St Ste 212, Glendale, CA 91204
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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 pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home M0201
The Covid-19 vaccine can be administered at your home for convenience and safety. This service is reported once per home, per date, when only the vaccine is given. It's a straightforward process where a medical professional visits your home to give the vaccine.
63 services58 patients
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.
37 services37 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.
17 services17 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
13 services13 patients

Other Providers at the Same Location NPPES 2

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

DAVID E. ROGERS M.D.
Specialist
222 W. EULALIA STREET, SUITE 309
GLENDALE, CA 91204
Los Angeles County (818) 243-0499
PROHEALTH-GLENDALE OCCUPATIONAL MEDICAL GRP.
Clinic/Center (Occupational Medicine)
222 W. EULALIA STREET, SUITE 101
GLENDALE, CA 91204
Los Angeles County (818) 246-4800

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 Healthmark Pharmacy, Inc.'s NPI number?

The NPI number for Healthmark Pharmacy, Inc. is 1902056732. It was assigned to this organization in the NPPES registry on September 29, 2008. The provider is doing business as San Jose Pharmacy.

Where is Healthmark Pharmacy, Inc. located?

Healthmark Pharmacy, Inc. is located at 222 W. Eulalia Street Suite 212, Glendale, CA 91204. The listed phone number is (818) 247-3266.

What is Healthmark Pharmacy, Inc.'s specialty?

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

Does Healthmark Pharmacy, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2275535) is associated with this NPI, valid through January 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Healthmark 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 49 other insurers list Healthmark 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 Healthmark Pharmacy, Inc. was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.