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Bascom Pharmacy LLC

Long Term Care Pharmacy in San Jose, CA · enumerated 2025 · authorized official Clive Fuller, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205719978

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Registry record

Entity type Organization (Type 2)
Legal business name Bascom Pharmacy LLC
Practice address 105 N Bascom Ave Ste 101, San Jose, CA, 95128
Phone (408) 995-6020
Fax (408) 995-5320
Enumeration date Jul 29, 2025
Last updated in NPPES Jul 29, 2025

Taxonomy & classification

3336L0003X Long Term Care Pharmacy Suppliers Primary

Authorized official

Name Clive Fuller
Title Manager
Phone (510) 691-3371

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Bascom Pharmacy LLC?
The NPI for Bascom Pharmacy LLC is 1205719978, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Bascom Pharmacy LLC?
NPPES lists Clive Fuller (Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-29.