Pham Family Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

26748 Issued in TX

Legal business name

PHAM FAMILY PHARMACY INC

Practice address

11722 Marsh LN Ste 343
Dallas, TX 75229-2682

Phone

(210) 366-1212

Fax

(210) 366-1217

NPI assigned

Dec 28, 2009

Organization subpart

No

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

Authorized official

Name

Cary Rossel

Title

Officer

Phone

(214) 888-8099

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Pham Family Pharmacy Inc Doing business as

Locations

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1447580329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14902 PRESTON RD",
            "address_2": "SUITE 404-513",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752549191",
            "telephone_number": "214-888-8099",
            "fax_number": "214-261-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11722 MARSH LN STE 343",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752292682",
            "telephone_number": "210-366-1212",
            "fax_number": "210-366-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAM FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "ROSSEL",
        "authorized_official_first_name": "CARY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "214-888-8099"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123274",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pham Family Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mackenzie Marie Pfitzinger, PT, DPT
• PGBH Assists, PLLC
• PGMB Surgical Assoiciates
• Pgvpediatrics, PA
• PH Ops of Dallas LLC
• An Nhu Pham, M.D.
• Anh Quynh Pham
• Bao Lan Duc Pham, M.D.
• Brandon Pham
• Brian Pham, MD

• Community/Retail Pharmacy in Dallas, TX
• Providers in Dallas, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.