Tram Pham Pharmd, Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

PHY40535 Issued in CA

Legal business name

TRAM PHAM PHARMD, INC

Practice address

15735 Hawthorne Blvd #110
Lawndale, CA 90260

Phone

(310) 676-3489

Fax

(310) 676-7929

NPI assigned

Oct 18, 2005

Organization subpart

No

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

Authorized official

Name

Tram Pham

Title

Owner

Phone

(310) 676-3489

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• THU PHARMACY Doing business as

Tax ID family

Thu Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Tram Pham Pharmd, Inc

  • Community/Retail Pharmacy
  • Garden Grove, CA
  • NPI 1942450291
  NPD tax ID
• Tram Pham Pharmd, Inc

  • Pharmacy
  • Lawndale, CA
  • NPI 1942875919
  NPD tax ID

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1407845969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15735 HAWTHORNE BLVD #110",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "90260",
            "telephone_number": "310-676-3489",
            "fax_number": "310-676-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15735 HAWTHORNE BLVD #110",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "90260",
            "telephone_number": "310-676-3489",
            "fax_number": "310-676-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAM PHAM PHARMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "TRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-676-3489"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PHY40535",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHA 405350",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA405350",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407845969",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THU PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THU PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacist in Lawndale, CA
• Providers in Lawndale, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.