Active NPI
Hung Doan Pham, PHARM. D
- Pharmacist
- Midland, TX
National Provider Identifier
1346842366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 51772
- Practice address
- 200 W Interstate 20
Midland, TX 79701-2030 - Phone
- (432) 684-4425
- NPI assigned
- Nov 13, 2020
- Last updated
- Nov 13, 2020
- Sex
- Male
- 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 | 51772 | TX | Primary |
Addresses
Primary practice location
200 W Interstate 20
Midland, TX 79701-2030
Mailing address
3005 Woodridge LN
Odessa, TX 79762-5232
Phone (817) 504-5441
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 |
|---|---|---|---|
| 51772 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605225600000",
"number": "1346842366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 WOODRIDGE LN",
"city": "ODESSA",
"state": "TX",
"postal_code": "797625232",
"telephone_number": "817-504-5441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W INTERSTATE 20",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797012030",
"telephone_number": "432-684-4425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "HUNG",
"middle_name": "DOAN",
"credential": "PHARM. D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-13",
"last_updated": "2020-11-13",
"certification_date": "2020-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "51772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.