COUNTY OF SANTA CLARA (NPI# 1790863991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790863991 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SANTA CLARA |
| Other Organization Name | VALLEY HEALTH CENTER AT TULLY PHARMACY |
| Practice Address |
500 Tully Rd Vhc At Tully Pharmacy San Jose CA 95111-1917 |
| Mailing Address |
751 S Bascom Ave Building W San Jose CA 95128-2604 |
| Practice Telephone | 4088171360 |
| Practice Fax Number | 4088171367 |
| Mailing Telephone | 4088852300 |
| Mailing Fax Number | 4088855822 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2008-09-08 |
| Authorized Official Name | DR. ALFONSO F BANUELOS JR. (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 4088854001 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF SANTA CLARA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | PHE30090 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHB300900 | 05 |
| Other Name | Type Code |
|---|---|
| Valley Health Center at Tully Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578082400 | County of Santa Clara | Clinic/Center | 2101 Alexian Dr., Vhc At Alexian, San Jose, CA 95116-1901 | 2017-09-12 |
| 1073052734 | County of Santa Clara | Community/Behavioral Health | 4825 Speak Ln, San Jose, CA 95118-3769 | 2017-02-14 |
| 1306204342 | County of Santa Clara | Psychiatric Unit | 820 Enborg Court, San Jose, CA 95128 | 2016-02-05 |
| 1447645296 | County of Santa Clara | Clinic/Center | 777 E. Santa Clara St, Vhc At Downtown, San Jose, CA 95112 | 2015-03-30 |
| 1508269853 | County of Santa Clara | Community/Behavioral Health | 591 N King Rd Ste 1, San Jose, CA 95133-1661 | 2014-10-01 |
| 1053713958 | County of Santa Clara | Community/Behavioral Health | 2650 Senter Rd, San Jose, CA 95111-1121 | 2014-09-23 |
| 1508296526 | County of Santa Clara | Community/Behavioral Health | 850 Day Rd, Gilroy, CA 95020-9324 | 2013-11-13 |
| 1205275252 | County of Santa Clara | Community/Behavioral Health | 85 Tilton Ave, Morgan Hill, CA 95037-2504 | 2013-06-21 |
| 1316265226 | County of Santa Clara | Clinic/Center | 143 North Main Street, Milpitas, CA 95035-5302 | 2010-05-17 |
| 1083875074 | County of Santa Clara | Clinic/Center | 2221 Enborg Ln Ste 200, San Jose, CA 95128-2608 | 2008-06-23 |
| Street Address |
500 TULLY RD VHC AT TULLY PHARMACY |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95111-1917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467992040 | Margarita Teresa Rodriguez | Technician, Other | 500 Tully Rd, San Jose, CA 95111-1917 | 2017-03-02 |
| 1093116634 | Ken Miyazato | Dentist | 500 Tully Rd, San Jose, CA 95111-1917 | 2014-09-15 |
| 1639508195 | Monilola M Layokun | Nurse Practitioner | 500 Tully Rd, San Jose, CA 95111-1917 | 2013-11-05 |
| 1396008470 | Chaoyu Kawamura | Pharmacist | 500 Tully Rd, San Jose, CA 95111-1917 | 2012-06-22 |
| 1013270727 | Lisa Nguyen | Pharmacist | 500 Tully Rd, San Jose, CA 95111-1917 | 2012-06-18 |
| 1245593953 | Anhdai Nguyen | Pharmacist | 500 Tully Rd, San Jose, CA 95111-1917 | 2012-06-18 |
| 1184986275 | Bao-chau Crystal Bui | Pharmacist | 500 Tully Rd, San Jose, CA 95111-1917 | 2012-06-13 |
| 1851683288 | Maryann Abiodun Pitts | Pediatrics | 500 Tully Rd, San Jose, CA 95111-1917 | 2011-05-03 |
| 1417284746 | Marina Wasche | Dentist | 500 Tully Rd, 2nd Floor Dental Clinic, San Jose, CA 95111-1917 | 2009-11-06 |
| 1316124951 | County of Santa Clara | Clinic/Center | 500 Tully Rd, San Jose, CA 95111-1917 | 2008-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134667413 | Aldo Hernandez | Community Health Worker | 488 Skyway Dr, San Jose, CA 95111 | 2017-02-07 |
| 1518217017 | Jean Jennifer J Soliven | Registered Nurse | 614 Tully Rd., San Jose, CA 95111 | 2012-09-12 |
| 1679894604 | Julie Chi | Counselor | 581 Coyote Road, San Jose, CA 95111 | 2010-06-14 |
| 1720278179 | Mv Transportation | Non-emergency Medical Transport (VAN) | 555 Tully Road, Mv Transportation, San Jose, CA 95111 | 2007-07-31 |
| 1437355948 | Anthony Cozzolino | Psychiatry & Neurology | 614 Tully Road, Narvaez Mental Health, San Jose, CA 95111 | 2007-06-22 |
| 1750403515 | Karen Pham | Dentist | 4074 Monterey Road, San Jose, CA 95111 | 2007-04-04 |
| 1376697847 | Mai Anh Le | Dentist | 60 Senter Rd, San Jose, CA 95111 | 2007-01-22 |
| 1649335852 | Bui and Enriquez Dental Corporation | Dentist | 485 Lewis Rd, Suite A, San Jose, CA 95111 | 2006-12-27 |
| 1619031903 | Huyen Thu Nguyen | Pharmacist | 796 Apple Terrace, San Jose, CA 95111 | 2006-12-20 |
| 1285720342 | Lily Khanh-linh Thi Nguyen | Obstetrics & Gynecology | 500 W Tully Rd, Ob/gyn Clinic, San Jose, CA 95111 | 2006-10-05 |
| Find all providers in zip 95111 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736737 | Scriptdash Inc | Pharmacy | 2360 Qume Dr, San Jose, CA 95131-1838 | 2020-10-07 |
| 1952923591 | Bay Area Pharmacy | Pharmacy | 2519 S King Rd, San Jose, CA 95122-1825 | 2020-05-16 |
| 1437788015 | Vietnam Pharmacy Inc | Pharmacy | 2451 S King Rd Suite A1, San Jose, CA 95122 | 2020-04-06 |
| 1508403841 | Kc Pharmacy Corporation | Pharmacy | 2060 Aborn Rd Ste 150b, San Jose, CA 95121-1587 | 2019-12-05 |
| 1902307358 | Kaiser Foundation Health Plan Inc | Pharmacy | 1721 Technology Dr Fl 1, San Jose, CA 95110-1305 | 2018-02-21 |
| 1184178063 | Drogueria San Jose Inc | Pharmacy | 25 N 14th St Ste 168, San Jose, CA 95112-6204 | 2016-08-09 |
| 1578919510 | Leiters Enterprises Inc | Pharmacy | 6541 Via Del Oro Ste B, San Jose, CA 95119-1207 | 2016-05-09 |
| 1861852030 | Evergreen Pharmacy Inc | Pharmacy | 2365 Quimby Rd Ste 150, San Jose, CA 95122-1337 | 2016-03-02 |
| 1497124689 | Tt Pharmacy | Pharmacy | 1863 Alum Rock Ave Ste A, San Jose, CA 95116-1397 | 2015-09-18 |
| 1619345527 | Botika Inc | Pharmacy | 1939 Monterey Hwy Ste 2, San Jose, CA 95112-6149 | 2015-09-09 |
| 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.