Bascom Pharmacy is an authorized DME supplier for medicare equipments and products.
Bascom Pharmacy is a Community/Retail Pharmacy in San Jose, California. This pharmacy is owned and operated by Bascom Pharmacy Llc. It is located at 105 N Bascom Ave, Ste 101, San Jose and it's customer support contact number is 408-995-6020. The authorized person of Bascom Pharmacy is Clive Fuller, PHARMD who is Manager of the pharmacy and his contact number is 408-995-6020. Active license number of Bascom Pharmacy is 47147 for Community/Retail Pharmacy in California. Bascom Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Bascom Pharmacy is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Bascom Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Bascom Pharmacy
Type:
Community/Retail Pharmacy
Location:
105 N Bascom Ave, Ste 101, San Jose, California, 95128-1811
Phone:
408-995-6020
Fax:
408-995-5320
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Clive Fuller
Credentials:
PHARMD
Position:
Manager
Contact Number:
408-995-6020
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1457463374
NPI Enumeration Date:
31 Aug, 2006
NPI Last Update On:
11 Apr, 2017
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bascom Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
47147
California
Primary
Pharmacy
Secondary
Specialty Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
PHA471470
Medicaid
California
2113723
Other
Pk
5993930001
Medicaid
California
Medicare Enrollment:
Bascom Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
4880895465
O20100930024902
Bascom Pharmacy Llc
DME SUPPLIER - PHARMACY
Products Available:
Bascom Pharmacy has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Canes & Crutches
Heat & Cold Applications
Nebulizer Equipment & Supplies
Orthoses: Off-the-shelf
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
105 N Bascom Ave, Ste 101 San Jose, California
Zip:
95128-1811
Phone Number:
408-995-6020
Fax Number:
408-995-5320
Patients can reach Bascom Pharmacy at 105 N Bascom Ave, Ste 101, San Jose, California or can call on customer care at 408-995-6020.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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