Healthcare Provider Details

I. General information

NPI: 1275992406
Provider Name (Legal Business Name): COUNTY OF SANTA CLARA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2016
Last Update Date: 06/23/2023
Certification Date: 06/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 E SANTA CLARA ST
SAN JOSE CA
95112-1934
US

IV. Provider business mailing address

751 S BASCOM AVE PHARMACY ADMINISTRATION
SAN JOSE CA
95128-2604
US

V. Phone/Fax

Practice location:
  • Phone: 408-885-2300
  • Fax: 408-885-5822
Mailing address:
  • Phone: 408-885-2300
  • Fax: 408-885-5822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number53919
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. NARINDER SINGH
Title or Position: DIRECTOR OF PHARMACY SERVICES
Credential: PHARM.D., MBA
Phone: 408-885-2300