Thu Nguyen Trang Pham

Primary specialty

PharmacistTaxonomy code 183500000X

License

S026141 Issued in AZ

Practice address

401 Picacho Rd
Winterhaven, CA 92283-9605

Phone

(760) 572-4100

NPI assigned

May 4, 2023

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 4, 2023.

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1194414243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7196 E 25TH PL",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853657879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PICACHO RD",
            "city": "WINTERHAVEN",
            "state": "CA",
            "postal_code": "922839605",
            "telephone_number": "760-572-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "THU",
        "middle_name": "NGUYEN TRANG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S026141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arazely Padilla, CMA
• Walter Palkovitch, RN
• Haani Patchen
• Rosa Maria Peralta, FNP
• Maria Perry
• Cherise Louise Riley
• Margaret Rincon
• Antonio Rivera, MD
• Kelli Rogers, RN
• Cristina Romagnoli

• All providers in Winterhaven, CA
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.