Tan Phuc Pham, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

64459 Issued in CA

Practice address

431 N Tustin Ave Ste C
Santa Ana, CA 92705-3821

Phone

(714) 707-5115

Fax

(714) 551-6822

NPI assigned

Sep 14, 2011

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tydus Group

  • Community/Retail Pharmacy
  • Santa Ana, CA
  • NPI 1366083198
  NPD Authorized official

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1184906307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 N TUSTIN AVE STE C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053821",
            "telephone_number": "714-707-5115",
            "fax_number": "714-551-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 N TUSTIN AVE STE C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053821",
            "telephone_number": "714-707-5115",
            "fax_number": "714-551-6822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1414 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "San Carlos",
            "state": "CA",
            "postal_code": "940705102",
            "country_code": "US",
            "telephone_number": "650-637-9777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "TAN",
        "middle_name": "PHUC",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-14",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "64459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quynh-Anh Pham
• Quynh-Anh Bao Pham, PHARMD
• Quynh-CHI Mai Pham
• Sarah Pham
• Sean Minhquanh Pham
• Thao Pham, DPT
• Thao Pham
• Thu Ngoc Pham
• Tina Pham
• Trung Pham, MD

• Pharmacist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.