Hung DO Pham

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY40015 Issued in CA

Legal business name

HUNG DO PHAM

Practice address

567 E Santa Clara St
San Jose, CA 95112-2014

Phone

(408) 280-0797

Fax

(408) 280-0798

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Loan Tu Nguyen Pham

Title

Pic

Phone

(408) 280-0797

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SAN JOSE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1104043207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 E SANTA CLARA ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951122014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 E SANTA CLARA ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951122014",
            "telephone_number": "408-280-0797",
            "fax_number": "408-280-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNG DO PHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "NGUYEN PHAM",
        "authorized_official_first_name": "LOAN TU",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "408-280-0797"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY40015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA400150",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0549901",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN JOSE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gail Anne Hume, D.C.
• Michelle Humke
• Lori Ouellette Humphreys, PT
• Mandeep Hundal, PHARMD
• Jordan Marie Huneke
• Hung Thai Dental Corp
• Hung Thai Dental Corporation
• Chia-Yi Selena Hung, D.O.
• Jerry Shao Hung, DPT
• Lisa Hung, DO

• Community/Retail Pharmacy in San Jose, CA
• Providers in San Jose, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.