JISMOL SHIBY JOHN (NPI# 1679842546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679842546 |
| Entity Type | Individual |
| Full Name | JISMOL SHIBY JOHN |
| Practice Address |
440 Blossom Hill Rd San Jose CA 95123-1608 |
| Mailing Address |
363 Gardenia Dr San Jose CA 95123-4442 |
| Practice Telephone | 4084482503 |
| Mailing Telephone | 7814206710 |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2019-09-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 59386 | CA | Pharmacy Service Providers |
| Street Address |
440 BLOSSOM HILL RD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95123-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255346532 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 440 Blossom Hill Rd, San Jose, CA 95123-1608 | 2006-07-29 |
| 1922645019 | Harrison Tu | Pharmacist | 440 Blossom Hill Rd, San Jose, CA 95123-1608 | 2019-12-08 |
| 1164082061 | Diana Quyen Doan | Pharmacist | 440 Blossom Hill Rd, San Jose, CA 95123-1608 | 2019-06-13 |
| 1962939819 | Virginia Nguyen | Pharmacist | 440 Blossom Hill Rd, San Jose, CA 95123-1608 | 2017-05-22 |
| 1760868731 | Phi Tien Nguyen | Pharmacist | 440 Blossom Hill Rd, San Jose, CA 95123-1608 | 2015-07-31 |
| 1710362413 | Vi Phan | Pharmacist | 440 Blossom Hill Rd, San Jose, CA 95123-1608 | 2015-07-23 |
| 1104220888 | Aya Alaadel | Pharmacist | 440 Blossom Hill Rd, San Jose, CA 95123-1608 | 2014-10-09 |
| 1114342623 | Herjot Kaur Atwal | Pharmacist | 440 Blossom Hill Rd, San Jose, CA 95123-1608 | 2014-02-20 |
| 1477998698 | Thinh Nguyen | Pharmacist | 440 Blossom Hill Rd, San Jose, CA 95123-1608 | 2013-05-01 |
| 1649549510 | Jayasree Pindi Venkat | Pharmacist | 440 Blossom Hill Rd, San Jose, CA 95123-1608 | 2011-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700441045 | Calvin Patrick Nell | Chiropractor | 5570 Sanchez Drive, Ste 100, San Jose, CA 95123 | 2019-05-02 |
| 1629557152 | Jia Tian | Dentist | 393 Blossom Hill Rd Ste 150, San Jose, CA 95123 | 2018-08-06 |
| 1003306176 | Western Dental Services, Inc. | Dentist | 451 Blossom Hill Rd Suite 20, San Jose, CA 95123 | 2018-05-15 |
| 1871004945 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5411 Thornwood Dr, San Jose, CA 95123 | 2017-10-17 |
| 1437672953 | Mie Mie Chiu | Dietitian, Registered | 276 Palm Valley Blvd #205, San Jose, CA 95123 | 2017-07-18 |
| 1902335300 | Alfredo Fernandez | Counselor | 5898 Paddon Circle, San Jose, CA 95123 | 2017-06-08 |
| 1780115444 | Christopher Vi Tran | Case Manager/Care Coordinator | 5579 Lean Avenue, San Jose, CA 95123 | 2017-03-24 |
| 1205370004 | Linxi Wu | Acupuncturist | 6064 Cahalan Ave, San Jose, CA 95123 | 2016-12-13 |
| 1013307651 | Kevin Dizon | Dental Hygienist | 6071 Sunstone Drive, San Jose, CA 95123 | 2015-02-04 |
| 1285031294 | Katie Tran | Dental Assistant | 524 Glenburry Way, San Jose, CA 95123 | 2014-11-20 |
| Find all providers in zip 95123 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714427 | Camille Tran | Pharmacist | 2251 Bellington Ct, San Jose, CA 95138-2469 | 2020-06-10 |
| 1194340604 | Tan Vu | Pharmacist | 4643 Park Norton Pl, San Jose, CA 95136-2523 | 2020-06-10 |
| 1356970974 | Viet Quoc Bui | Pharmacist | 2451 S King Rd Ste A1, San Jose, CA 95122-2540 | 2020-04-06 |
| 1063041903 | Tam Minh To | Pharmacist | 307 Checkers Dr Apt 203, San Jose, CA 95133-2254 | 2020-04-03 |
| 1336777598 | Tina Marie Trinh | Pharmacist | 2707 Glen Loman Way, San Jose, CA 95148-4128 | 2020-03-31 |
| 1487285011 | Nanxi Tang | Pharmacist | 5517 Leigh Ave, San Jose, CA 95124-6128 | 2020-02-02 |
| 1609407410 | Kuan Pei Wu | Pharmacist | 2953 Leigh Ave, San Jose, CA 95124-1635 | 2020-01-30 |
| 1982243135 | Elizabeth Vo | Pharmacist | 3091 Mattos Ave, San Jose, CA 95132-1741 | 2020-01-04 |
| 1093354961 | Truong Thinh Le Thiem | Pharmacist | 1275 Cathay Dr, San Jose, CA 95122-1906 | 2019-12-24 |
| 1306484811 | Tiana Truong | Pharmacist | 2955 Senter Rd Ste 55, San Jose, CA 95111-1200 | 2019-12-16 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.