Active NPI
Dang Pham, PHARMD
- Pharmacist
- Glen Burnie, MD
National Provider Identifier
1356003156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28278
- Practice address
- 801 Landmark Dr
Glen Burnie, MD 21061-4986 - Phone
- (443) 281-9157
- NPI assigned
- Oct 8, 2021
- 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 | 28278 | MD | Primary |
Addresses
Primary practice location
801 Landmark Dr
Glen Burnie, MD 21061-4986
Mailing address
3 Kahl Manor CT
Perry Hall, MD 21128-9028
Phone (443) 912-6096
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 |
|---|---|---|---|
| 28278 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soleil Pharmacy | Past | Accepting new patients |
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.
-
- Community/Retail Pharmacy
- Glen Burnie, MD
- NPI 1205336328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635984000000",
"number": "1356003156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 KAHL MANOR CT",
"city": "PERRY HALL",
"state": "MD",
"postal_code": "211289028",
"telephone_number": "443-912-6096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 LANDMARK DR",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210614986",
"telephone_number": "443-281-9157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "DANG",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-08",
"last_updated": "2021-11-04",
"certification_date": "2021-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "28278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.