Active NPI
Phuong Dong Lam
- Pharmacist
- Miami, FL
National Provider Identifier
1447527494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS31099
- Practice address
- 3655 S Dixie Hwy
Miami, FL 33133-4306 - Phone
- (305) 444-4366
- Fax
- (305) 444-7178
- NPI assigned
- Nov 18, 2011
- 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 | PS31099 | FL | Primary |
Addresses
Primary practice location
3655 S Dixie Hwy
Miami, FL 33133-4306
Mailing address
3655 S Dixie Hwy
Miami, FL 33133-4306
Phone (305) 444-4366
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 |
|---|---|---|---|
| PS31099 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1447527494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3655 S DIXIE HWY",
"city": "MIAMI",
"state": "FL",
"postal_code": "331334306",
"telephone_number": "305-444-4366",
"fax_number": "305-444-7178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3655 S DIXIE HWY",
"city": "MIAMI",
"state": "FL",
"postal_code": "331334306",
"telephone_number": "305-444-4366",
"fax_number": "305-444-7178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "PHUONG",
"middle_name": "DONG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-18",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS31099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.