Organization
MEDICAL PAVILION PHARMACY, INC.
Active
Organization
MEDICAL PAVILION PHARMACY, INC.
Active
Other names
Medical Pavilion Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE BASRAI (CEO)
(408) 842-2001
Entity
Organization
Contact information
Practice address
9460 NO NAME UNO, SUITE 100, GILROY, CA 95020-3537
(408) 842-2001
(408) 842-7141
Mailing address
9460 NO NAME UNO, SUITE 100, GILROY, CA 95020-3537
(408) 842-2001
(408) 842-7141
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47105
BOARD OF PHARMACY PERMIT
CA
Enumeration date
01/29/2007
Last updated
02/07/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up