Active NPI
Dao Pham, RPH
- Pharmacist
- Sacramento, CA
National Provider Identifier
1174922116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 48566
- Practice address
- 8250 Power Inn Rd
Sacramento, CA 95828-6760 - Phone
- (916) 688-2122
- Fax
- (916) 688-2124
- NPI assigned
- Aug 15, 2014
- Last updated
- Aug 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 48566 | CA | Primary |
| Pharmacist | 183500000X | S010127 | AZ |
Addresses
Primary practice location
8250 Power Inn Rd
Sacramento, CA 95828-6760
Mailing address
8250 Power Inn Rd
Sacramento, CA 95828-6760
Phone (916) 688-2122
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S010127 | AZ | MD | Pharmacist |
| 48566 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sam's West, Inc. | Past | Accepting new patients | |
| Sams West Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408060800000",
"number": "1174922116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8250 POWER INN RD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958286760",
"telephone_number": "916-688-2122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8250 POWER INN RD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958286760",
"telephone_number": "916-688-2122",
"fax_number": "916-688-2124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "DAO",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-15",
"last_updated": "2014-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "48566",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S010127",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.