Provider Demographics
NPI:1588556146
Name:STORY ROAD PHARMACY INC
Entity type:Organization
Organization Name:STORY ROAD PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDULRAHMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-649-3021
Mailing Address - Street 1:3074 STORY RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95127-3934
Mailing Address - Country:US
Mailing Address - Phone:408-649-3021
Mailing Address - Fax:
Practice Address - Street 1:3074 STORY RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95127-3934
Practice Address - Country:US
Practice Address - Phone:408-649-3021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy