Individual provider Active NPI

Thuy Thi Pham, PHARMD

  • Pharmacotherapy Pharmacist
  • Chicago, IL
National Provider Identifier
1366521973
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
51288536 Issued in IL
Practice address
833 South Wood Street, Room 164
Department of Pharmacy Practice (MC 886)
Chicago, IL 60612-7230
Phone
(312) 996-0897
Fax
(312) 996-0379
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 51288536 IL Primary

Addresses

Primary practice location

833 South Wood Street, Room 164
Department of Pharmacy Practice (MC 886)
Chicago, IL 60612-7230

Mailing address

1737 N Wilmot Ave
Chicago, IL 60647-5523
Phone (773) 292-1457

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

LicenseStateTypeSpecialty
51288536ILMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366521973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 N WILMOT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475523",
            "telephone_number": "773-292-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SOUTH WOOD STREET, ROOM 164",
            "address_2": "DEPARTMENT OF PHARMACY PRACTICE (MC 886)",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127230",
            "telephone_number": "312-996-0897",
            "fax_number": "312-996-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "THUY",
        "middle_name": "THI",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "IL",
            "license": "51288536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.