NPIMap

Individual provider Active NPI

Thien Pham

  • Pharmacist
  • Concord, NC
National Provider Identifier
1235444555
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18196 Issued in NC
Practice address
807 Davidson Dr NW
Concord, NC 28025-4351
Phone
(704) 786-0135
Fax
(704) 786-1018
NPI assigned
Aug 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18196 NC Primary

Addresses

Primary practice location

807 Davidson Dr NW
Concord, NC 28025-4351

Mailing address

807 Davidson Dr NW
Concord, NC 28025-4351
Phone (704) 786-0135

Other names 1

  • Sue Pham Other name

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

State licenses

LicenseStateTypeSpecialty
18196NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
RX Central, Inc. Current Accepting new patients

Locations

807 Davidson Dr NW
Concord, NC 28025
Phone (704) 786-0135

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1235444555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 DAVIDSON DR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254351",
            "telephone_number": "704-786-0135",
            "fax_number": "704-786-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 DAVIDSON DR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254351",
            "telephone_number": "704-786-0135",
            "fax_number": "704-786-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "THIEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "18196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "PHAM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.