Individual provider Active NPI

Hao Pham, RPH

  • Pharmacist
  • Henderson, NV
National Provider Identifier
1336011154
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
24768 Issued in NV
Practice address
1500 S Boulder Hwy
Henderson, NV 89015-8506
Phone
(702) 567-5454
NPI assigned
Sep 22, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 24768 NV Primary

Addresses

Primary practice location

1500 S Boulder Hwy
Henderson, NV 89015-8506

Mailing address

1500 S Boulder Hwy
Henderson, NV 89015-8506
Phone (702) 567-5454

Other practice location 1

7180 Cascade Valley Ct Ste 280
Las Vegas, NV 89128-0481
Phone (725) 710-9120

Other practice location 2

3483 S Eastern Ave Unit 100
Las Vegas, NV 89169-3314
Phone (725) 254-3210

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
24768NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Sep 28, 2025 Accepting new patients
Walgreen Co PastSince Sep 28, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1336011154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S BOULDER HWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890158506",
            "telephone_number": "702-567-5454",
            "fax_number": "702-567-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S BOULDER HWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890158506",
            "telephone_number": "702-567-5454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7180 Cascade Valley Ct Ste 280",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280481",
            "country_code": "US",
            "telephone_number": "725-710-9120",
            "fax_number": "725-710-9121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3483 S Eastern Ave Unit 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891693314",
            "country_code": "US",
            "telephone_number": "725-254-3210",
            "fax_number": "725-354-3211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "HAO",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-22",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "24768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.