Active NPI
Duyen Pham
- Pharmacist
- Garden Grove, CA
National Provider Identifier
1437709730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 59325
- Practice address
- 9191 Westminster Ave
Garden Grove, CA 92844-2751 - Phone
- (702) 481-4258
- NPI assigned
- Sep 18, 2019
- Sex
- Female
- 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 | 59325 | CA | Primary |
Addresses
Primary practice location
9191 Westminster Ave
Garden Grove, CA 92844-2751
Mailing address
9191 Westminster Ave
Garden Grove, CA 92844-2751
Phone (714) 899-1111
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Lilydpham@outlook.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 59325 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568764800000",
"number": "1437709730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9191 WESTMINSTER AVE",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928442751",
"telephone_number": "714-899-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9191 WESTMINSTER AVE",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928442751",
"telephone_number": "702-481-4258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "DUYEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-18",
"last_updated": "2019-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "59325",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Lilydpham@outlook.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "9191 Westminster Ave",
"city": "Garden Grove",
"state": "CA",
"country_code": "US",
"postal_code": "928442751",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.