Active NPI
Cecilia Pham, PHARMD
- Pharmacist
- Milan, IL
National Provider Identifier
1073837597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20766
- Practice address
- 440 10TH Ave W
Milan, IL 61264-2345 - Phone
- (309) 787-2161
- NPI assigned
- Mar 26, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 20766 | IA | Primary |
| Pharmacist | 183500000X | 051292794 | IL |
Addresses
Primary practice location
440 10TH Ave W
Milan, IL 61264-2345
Mailing address
440 10TH Ave W
Milan, IL 61264-2345
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 |
|---|---|---|---|
| 20766 | IA | MD | Pharmacist |
| 051292794 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318291200000",
"number": "1073837597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 10TH AVE W",
"city": "MILAN",
"state": "IL",
"postal_code": "612642345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 10TH AVE W",
"city": "MILAN",
"state": "IL",
"postal_code": "612642345",
"telephone_number": "309-787-2161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "CECILIA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-26",
"last_updated": "2011-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20766",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051292794",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.