Active NPI
Nam Hoai Phuong, PHARMD
- Pharmacist
- Lafayette, CA
National Provider Identifier
1437796505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH81432
- Practice address
- 3540 Mt Diablo Blvd
Lafayette, CA 94549-3814 - Phone
- (925) 284-1550
- Fax
- (925) 284-9202
- NPI assigned
- Dec 7, 2019
- Last updated
- Jun 4, 2024
- Sex
- Male
- 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 | RPH81432 | CA | Primary |
Addresses
Primary practice location
3540 Mt Diablo Blvd
Lafayette, CA 94549-3814
Mailing address
24 Union SQ Apt 528
Union City, CA 94587-8537
Phone (856) 278-8512
Other practice location 1
35759 Cabral Dr
Fremont, CA 94536-5441
Phone (856) 278-8512
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH81432 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1437796505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 UNION SQ APT 528",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945878537",
"telephone_number": "856-278-8512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3540 MT DIABLO BLVD",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945493814",
"telephone_number": "925-284-1550",
"fax_number": "925-284-9202"
}
],
"practiceLocations": [
{
"address_1": "35759 Cabral Dr",
"address_purpose": "LOCATION",
"city": "Fremont",
"state": "CA",
"postal_code": "945365441",
"country_code": "US",
"telephone_number": "856-278-8512",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHUONG",
"first_name": "NAM",
"middle_name": "HOAI",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-12-07",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH81432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.