Active NPI
Duyen Pham, PHARM.D
- Pharmacist
- Anaheim, CA
National Provider Identifier
1245509355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55664
- Practice address
- 128 S State College Blvd
Anaheim, CA 92806-2921 - Phone
- (714) 778-2519
- Fax
- (714) 778-4318
- NPI assigned
- Dec 19, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 55664 | CA | Primary |
Addresses
Primary practice location
128 S State College Blvd
Anaheim, CA 92806-2921
Mailing address
13452 Heather Cir
Garden Grove, CA 92840-6116
Phone (714) 251-0694
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 |
|---|---|---|---|
| 55664 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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 and National Provider Directory roles.
-
- Pharmacy
- Anaheim, CA
- NPI 1487669719
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324252800000",
"number": "1245509355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13452 HEATHER CIR",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928406116",
"telephone_number": "714-251-0694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 S STATE COLLEGE BLVD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928062921",
"telephone_number": "714-778-2519",
"fax_number": "714-778-4318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "DUYEN",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-19",
"last_updated": "2011-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "55664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.