Jeanie Tuanh Pham, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S024921 Issued in AZ

Practice address

7587 S Power Rd
Queen Creek, AZ 85142-6323

Phone

(480) 988-3182

Fax

(480) 988-5409

NPI assigned

Dec 16, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• German Dobson CVS L.L.C.

  • Pharmacy
  • Queen Creek, AZ
  • NPI 1336319581
  NPD (past)
• German Dobson CVS LLC

  • Pharmacy
  • Queen Creek, AZ
  • NPI 1639053374
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1033705769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 E DOVER ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852136930",
            "telephone_number": "480-584-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7587 S POWER RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426323",
            "telephone_number": "480-988-3182",
            "fax_number": "480-988-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "JEANIE",
        "middle_name": "TUANH",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S024921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Peters, RPH
• Sierra Peters, BCBA
• Steven Petersen Jr.
• Alisha Marie Peterson
• Elizabeth Amy Pfeiffenberger
• Philippine Family Care Homes LLC
• Physiotherapy Associates Inc
• Picacho 1, LLC
• Kelsey Picha
• Tyson Pickell

• Pharmacist in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.