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NPI 1033685318ActiveIndividual· Pharmacist· San Jose, CA

Pharmacist in San Jose, California, licensed in CA, with an NPI issued in October 2018. Part D covered 796 prescriptions written in 2024, 97% of them generic.

Overview

NPI1033685318
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedOct 15, 2018
Last updated in NPPESOct 15, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X78903CA
Pharmacist, Ambulatory Care1835P2201X78903CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)796 · 1,904 30-day fills
Patients108
Total drug cost$59,559
Generic share97% of claims

Medicare sources and data years

Other pharmacists in San Jose

All 920 pharmacists in San Jose · All pharmacists in California