Pacific Pharmacy

LBN: Pacific Pharmacy
Pacific Pharmacy is an health care organization with primary practice located at 2874 Alum Rock Ave Ste A, San Jose CA 95127-2804. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Durable Medical Equipment & Medical Supplies. Pharmacy Service Providers / Pharmacist is the primary health care specialty. Pacific Pharmacy can be contacted via phone (408) 937-4618, or through Nguyen, Hung Viet via phone (408) 937-4618.

Contact Information

Primary practice address
2874 Alum Rock Ave Ste A San Jose CA 95127-2804
Phone: (408) 937-4618
Fax: (408) 937-8371
Website:
Map and Directions
Authorized official contact:
Name: Nguyen, Hung Viet
Phone: (408) 937-4618

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 47826 California
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 47826 California

Profile Details

NPI number 1104999119
LBN Legal business name Pacific Pharmacy
DBA Doing business as
Authorized official Nguyen, Hung Viet
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2006
Last updated Nov 12th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104999119 NPPES
California MEDICAID PHA409030

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