Active NPI
Thomas Pham
- Pharmacist
- Saugus, MA
National Provider Identifier
1093412660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH240543
- Practice address
- 8 Gianna Dr
Saugus, MA 01906-1987 - Phone
- (781) 521-2827
- NPI assigned
- Feb 14, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH240543 | MA | Primary |
Addresses
Primary practice location
8 Gianna Dr
Saugus, MA 01906-1987
Mailing address
8 Gianna Dr
Saugus, MA 01906-1987
Phone (781) 521-2827
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH240543 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676332800000",
"number": "1093412660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 GIANNA DR",
"city": "SAUGUS",
"state": "MA",
"postal_code": "019061987",
"telephone_number": "781-521-2827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 GIANNA DR",
"city": "SAUGUS",
"state": "MA",
"postal_code": "019061987",
"telephone_number": "781-521-2827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-14",
"last_updated": "2023-02-14",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH240543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saugus, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.