Andrew Pham, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

55884 Issued in TX

Practice address

2245 Jacksboro Hwy
Fort Worth, TX 76114-2319

Phone

(817) 569-6241

NPI assigned

Oct 23, 2018

Last updated

Oct 23, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1366918880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 SAN MARCOS DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760121757",
            "telephone_number": "817-228-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 JACKSBORO HWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761142319",
            "telephone_number": "817-569-6241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Clifford St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761084403",
            "country_code": "US",
            "telephone_number": "817-367-0818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "ANDREW",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "55884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John K Pfaff, MD
• Ross M Pfaff, PTA, ATC
• Mykayla Dayne Pfursich, APRN, CNP
• Mailey Dung Pham-May, DNP, FNP-BC
• Alexander Hoang Pham, MD
• Anna Pham
• CHI M Pham, MD
• Debbie Nhung Pham, NURSE PRACTITIONER
• Felisha-Y Pham, PA
• Harry Pham, DO

• Pharmacist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.