County Of Santa Clara
Pharmacy
976 Lenzen Ave, San Jose
California, 95126-2737
408-792-5169 408-947-8730
County Of Santa Clara is a Pharmacy in San Jose, California. This organization is also known as sub part of County Of Santa Clara. It is located at 976 Lenzen Ave, San Jose and it's customer support contact number is 408-792-5169. The authorized person of County Of Santa Clara is Dr. Alfonso F Banuelos Jr., MD who is Chief Medical Officer of the pharmacy and his contact number is 408-885-4001. Active license number of County Of Santa Clara is 070000085 for Pharmacy in California. County Of Santa Clara accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
County Of Santa Clara is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
County Of Santa Clara 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: | County Of Santa Clara |
| Type: | Pharmacy |
| Location: | 976 Lenzen Ave, San Jose,
California, 95126-2737 |
| Phone: | 408-792-5169 |
| Fax: | 408-947-8730 |
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: | Dr. Alfonso F Banuelos Jr. |
| Credentials: | MD |
| Position: | Chief Medical Officer |
| Contact Number: | 408-885-4001 |
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: | 1518045715 |
| Parent Organization: | County Of Santa Clara |
| NPI Enumeration Date: | 02 Nov, 2006 |
| NPI Last Update On: | 08 Sep, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for County Of Santa Clara are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 070000085 | California | Primary | |
| Clinic Pharmacy | 070000085 | California | 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 |
| PHA338350 | Medicaid | California | |
Medicare Enrollment:
County Of Santa Clara 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 |
| 1254244973 | O20090202000577 | County Of Santa Clara | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 751 S Bascom Ave, Building W
San Jose, California |
| Zip: | 95128-2604 |
| Phone Number: | 408-885-2300 |
| Fax Number: | 408-885-2289 |
Patients can reach County Of Santa Clara at
976 Lenzen Ave, San Jose, California or can
call on customer care at 408-792-5169.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.