Jen Pham, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

78000 Issued in CA

Practice address

39782 Winchester Rd
Temecula, CA 92591-3551

Phone

(951) 676-0703

NPI assigned

May 11, 2018

Last updated

May 11, 2018By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thrifty Payless Inc

  dba Rite Aid Pharmacy 06833

  • Community/Retail Pharmacy
  • Winchester, CA
  • NPI 1437874062
  NPD (past)
• Thrifty Payless Inc

  dba Rite Aid Pharmacy 06438

  • Community/Retail Pharmacy
  • Temecula, CA
  • NPI 1720122781
  NPD (past)

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1134619547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10911 PLAYA DEL SOL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39782 WINCHESTER RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913551",
            "telephone_number": "951-676-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "JEN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "78000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE BOARD OF PHARMACY",
            "identifier": "78000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert G Peterson, M.D.
• Hunter Pfeiffer
• Cheryl Ann Pfent, PSYD
• Edward Pfund
• Christine Dinh Pham
• Linda Hoang Pham, DO
• Michael T Pham, PHARMD
• Mitchel Pham, MD
• Patrick Pham, OTR/L
• Phuong Minh Pham, MD

• Pharmacist in Temecula, CA
• Providers in Temecula, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.