Bascom Pharmacy Llc is not a DME supplier for medicare equipments and products.
Bascom Pharmacy Llc is a Long Term Care Pharmacy in San Jose, California. 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 Llc is Clive Fuller, PHARMD who is Manager of the pharmacy and his contact number is 510-691-3371. Bascom Pharmacy Llc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Bascom Pharmacy Llc 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 Llc
Type:
Long Term Care 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:
510-691-3371
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:
1205719978
NPI Enumeration Date:
29 Jul, 2025
NPI Last Update On:
29 Jul, 2025
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 Llc are as mentioned below.
Specialization
License Number
State
Status
Long Term Care Pharmacy
Primary
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 Llc 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 13 October, 2025.
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