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Export Provider Record NPI 1043356090
Mowry Plaza Pharmacy
Organization Subpart: YES
Active
NPI Number1043356090
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1043356090
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2007-01-29
Last Updated2008-08-05
Authorized OfficialGurpartap Basrai
Owner
Phone: 5107459900
Mailing Address668 Mowry Ave
Fremont, CA 94536-4113
United States
Phone: (510) 745-9900 | Fax: (510) 745-9950
📍 View Map
Primary Practice Address668 Mowry Ave
Fremont, CA 94536-4113
United States
Phone: (510) 745-9900 | Fax: (510) 745-9950
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDCApha454520
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No183500000X – PharmacistCA31057
Yes3336C0003X – Pharmacy, Community/Retail PharmacyCAPHY45452
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About NPI 1043356090

Mowry Plaza Pharmacy is an organization registered in the CMS NPPES NPI Registry with NPI number 1043356090. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Fremont, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-01-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1043356090?

NPI 1043356090 belongs to Mowry Plaza Pharmacy, a Pharmacy, Community/Retail Pharmacy in Fremont, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1043356090 active?

The current status of NPI 1043356090 in the NPPES registry is Active. The record was last updated on 2008-08-05.

What specialty is NPI 1043356090?

NPI 1043356090 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1043356090?

You can verify NPI 1043356090 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1043356090?

The primary practice address on file for NPI 1043356090 is 668 Mowry Ave, Fremont, CA 94536-4113. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1043356090 issued?

NPI 1043356090 was first issued (enumerated) on 2007-01-29. The NPPES record was last updated on 2008-08-05.

Practice Location Map

Mowry Plaza Pharmacy is located at 668 Mowry Ave, Fremont, CA. Use the map below to find directions or verify the practice location.

📍 668 Mowry Ave, Fremont, CA 94536-4113  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Mowry Plaza Pharmacy. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1043356090. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacist31057CA
Pharmacy, Community/Retail PharmacyPHY45452CA
Data Verified from CMS NPPES Last synced: 2026-06-12 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162