Active NPI
Nam Dinh, PHARM D
- Pharmacist
- Santa Rosa, CA
National Provider Identifier
1235414277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 62248
- Practice address
- 1799 Marlow Rd
Santa Rosa, CA 95401-4474 - Phone
- (707) 528-3730
- NPI assigned
- Oct 20, 2011
- Last updated
- Oct 20, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 62248 | CA | Primary |
Addresses
Primary practice location
1799 Marlow Rd
Santa Rosa, CA 95401-4474
Mailing address
1791 Marlow Rd
Suite 1D, #301
Santa Rosa, CA 95401-4151
Phone (949) 278-8438
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62248 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway 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": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1235414277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1791 MARLOW RD",
"address_2": "SUITE 1D, #301",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954014151",
"telephone_number": "949-278-8438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1799 MARLOW RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954014474",
"telephone_number": "707-528-3730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINH",
"first_name": "NAM",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-20",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "62248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.