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Export Provider Record NPI 1396169793
North East Medical Services
Organization Subpart: NO
Active
NPI Number1396169793
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1396169793
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2014-02-06
Last Updated2017-02-20
Authorized OfficialEland Yu
Pharmacist
Phone: 4085739686
Mailing Address1870 Lundy Ave
San Jose, CA 95131-1826
United States
Phone: (408) 573-9686
📍 View Map
Primary Practice Address1870 Lundy Ave
San Jose, CA 95131-1826
United States
Phone: (408) 573-9686 | Fax: (408) 922-0885
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)-2144160PK
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No333600000X – Pharmacy--
Yes3336C0003X – Pharmacy, Community/Retail PharmacyCA51677
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About NPI 1396169793

North East Medical Services is an organization registered in the CMS NPPES NPI Registry with NPI number 1396169793. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in San Jose, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2014-02-06. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1396169793?

NPI 1396169793 belongs to North East Medical Services, a Pharmacy, Community/Retail Pharmacy in San Jose, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1396169793 active?

The current status of NPI 1396169793 in the NPPES registry is Active. The record was last updated on 2017-02-20.

What specialty is NPI 1396169793?

NPI 1396169793 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 1396169793?

You can verify NPI 1396169793 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 1396169793?

The primary practice address on file for NPI 1396169793 is 1870 Lundy Ave, San Jose, CA 95131-1826. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1396169793 issued?

NPI 1396169793 was first issued (enumerated) on 2014-02-06. The NPPES record was last updated on 2017-02-20.

Practice Location Map

North East Medical Services is located at 1870 Lundy Ave, San Jose, CA. Use the map below to find directions or verify the practice location.

📍 1870 Lundy Ave, San Jose, CA 95131-1826  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as North East Medical Services. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1396169793. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail Pharmacy51677CA
Data Verified from CMS NPPES Last synced: 2026-08-24 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162