Tracy Pham, PHARM.D.

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

59107 Issued in CA

Practice address

1750 Pacific Ave # a
Long Beach, CA 90813-1715

Phone

(562) 599-5292

Fax

(562) 599-1893

NPI assigned

Oct 18, 2016

Last updated

Oct 18, 2016By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• Joanna J Kim Pharmacist Inc

  dba Golden Pharmacy

  • Community/Retail Pharmacy
  • Long Beach, CA
  • NPI 1790152114
  NPD (past)
• Joanna J Kim Pharmacist Inc

  dba Golden Pharmacy LTC

  • Long Term Care Pharmacy
  • Long Beach, CA
  • NPI 1821812140
  NPD (past)

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1164973822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7302 ROCKMONT AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836125",
            "telephone_number": "714-548-8551",
            "fax_number": "562-599-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 PACIFIC AVE # A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908131715",
            "telephone_number": "562-599-5292",
            "fax_number": "562-599-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "TRACY",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "CA",
            "license": "59107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pauline Pham, BSN, RN, PHN
• Peterson Q Pham, LCSW
• Sally Pham, PHARMD
• Stacy Pham, PHARM.D
• Thi Minh Thu Pham, DDS
• Tracy T Pham, PHARM.D.
• Trung Thanh Pham
• Van Quoc Pham, D.O
• Vithuy T Pham, PHARMD
• Can Quang Phan, M.D.

• Ambulatory Care Pharmacist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Ambulatory Care Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.