Active NPI
Hoa G Pham, PHARM.D.
- Pharmacist
- Carrollton, TX
National Provider Identifier
1043592199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 47779
- Practice address
- 4038 Old Denton Rd
Carrollton, TX 75007-1020 - Phone
- (763) 670-1277
- NPI assigned
- Sep 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 47779 | TX | Primary |
| Pharmacist | 183500000X | 118553 | MN |
Addresses
Primary practice location
4038 Old Denton Rd
Carrollton, TX 75007-1020
Mailing address
4038 Old Denton Rd
Carrollton, TX 75007-1020
Phone (763) 670-1277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118553 | MN | MD | Pharmacist |
| 47779 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336694400000",
"number": "1043592199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4038 OLD DENTON RD",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750071020",
"telephone_number": "763-670-1277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4038 OLD DENTON RD",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750071020",
"telephone_number": "763-670-1277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "HOA",
"middle_name": "G",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-14",
"last_updated": "2012-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "47779",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "118553",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.