OrganizationActive
Bascom Pharmacy LLC
NPI 1205719978 · Long Term Care Pharmacy · San Jose, CA
Bascom Pharmacy LLC is a Long Term Care Pharmacy organization in San Jose, CA (NPI 1205719978).
Provider details
- NPI number
- 1205719978
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Clive Fuller, Manager(510) 691-3371
Specialties & taxonomies
Suppliers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
105 N Bascom Ave Ste 101
San Jose, CA 95128-1811
Phone: (408) 995-6020
Fax: (408) 995-5320
Street-level locationGet directions
Mailing address
105 N Bascom Ave Ste 101
San Jose, CA 95128-1811
Registry dates
- Enumerated
- 2025-07-29
- Last updated
- 2025-07-29
- Certified
- 2025-07-29
Frequently asked questions
- What is Bascom Pharmacy LLC's NPI number?
- Bascom Pharmacy LLC's National Provider Identifier (NPI) is 1205719978, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bascom Pharmacy LLC?
- Bascom Pharmacy LLC is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Bascom Pharmacy LLC located?
- Bascom Pharmacy LLC's practice location on file with NPPES is 105 N Bascom Ave Ste 101, San Jose, CA 95128-1811.
- What is Bascom Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Bascom Pharmacy LLC is (408) 995-6020.
- Who is the authorized official for Bascom Pharmacy LLC?
- The authorized official listed on Bascom Pharmacy LLC's NPPES record is Clive Fuller, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bascom Pharmacy LLC's NPI active?
- Yes — Bascom Pharmacy LLC's NPI (1205719978) is active in the NPPES registry as of the last update on 2025-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.