Individual provider Active NPI

Thanh Kim Pham

  • Pharmacist
  • Houston, TX
National Provider Identifier
1437565009
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
53612 Issued in TX
Practice address
12435 Beechnut St
Suite 107
Houston, TX 77072
Phone
(346) 355-0065
NPI assigned
Jul 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 53612 TX Primary

Addresses

Primary practice location

12435 Beechnut St
Suite 107
Houston, TX 77072

Mailing address

12435 Beechnut St Ste 107
Houston, TX 77072-3989
Phone (346) 355-0065

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

State licenses

LicenseStateTypeSpecialty
53612TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hola RX Pharmacist CurrentSince Sep 24, 2023 Accepting new patients

Locations

12435 Beechnut St
Ste 107
Houston, TX 77072
Phone (346) 219-0830

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.

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1437565009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12435 BEECHNUT ST STE 107",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770723989",
            "telephone_number": "346-355-0065",
            "fax_number": "346-857-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12435 BEECHNUT ST",
            "address_2": "SUITE 107",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77072",
            "telephone_number": "346-355-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "THANH",
        "middle_name": "KIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "53612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.