Provider Type Icon

ST JAMES HEALTH CENTER PHARMACY NPI 1952479602


NPI Information

NPI: 1952479602
Provider Name: ST JAMES HEALTH CENTER PHARMACY

Other Name: ST JAMES HEALTH CENTER PHARMACY GARDNER FAMILY HEALTH NETWORK INC

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
55 EAST JULIAN ST
SAN JOSE, CA
ZIP 95112
Phone: (408) 918-2612
Get Directions

ST JAMES HEALTH CENTER PHARMACY is a pharmacy in San Jose, CA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. ST JAMES HEALTH CENTER PHARMACY NPI is 1952479602. The provider is registered as an organization entity type.
The provider Other Name Is St James Health Center Pharmacy Gardner Family Health Network Inc.

The provider's business location address is:

55 EAST JULIAN ST
SAN JOSE, CA
ZIP 95112
Phone: (408) 918-2612
Fax: (408) 280-0206

The provider's authorized official is Reymundo C Espinoza .
The authorized official title is Chief Executive Officer and has the following contact phone number (408) 918-2682.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyPHY34273CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10597584OTHERNADP
2PHA342730MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.