MEDICAL PAVILION PHARMACY INC. NPI 1205972254

NPI Details

MEDICAL PAVILION PHARMACY, INC. is a community/retail pharmacy pharmacy in Gilroy, CA. The provider is 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. MEDICAL PAVILION PHARMACY, INC. NPI is 1205972254. The provider is registered as an organization entity type.
The provider Is Doing Business As Medical Pavilion Pharmacy.

The provider's business location address is:

9460 NO NAME UNO
SUITE 100
GILROY, CA
ZIP 95020-537
Phone: (408) 842-2001
Fax: (408) 842-7141

The provider's authorized official is Jasmine Basrai .
The authorized official title is Ceo and has the following contact phone number (408) 842-2001.

The CLIA number assigned to this NPI record is 05D2198465 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
• Administration of pneumococcal vaccine (HCPCS:G0009)
• Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
• Coronavirus vaccine 13 (HCPCS:91312)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Fee covid-19 vac 14 res (HCPCS:0134A)

The enumeration date for this NPI number is 1/29/2007 and was last updated on 2/7/2019.

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:

Other Identifiers

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