Active NPI
Felicia Pham
- Pharmacist
- Santa Clara, CA
National Provider Identifier
1457178279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 90209
- Practice address
- 3970 Rivermark PLZ
Santa Clara, CA 95054-4155 - Phone
- (408) 855-0985
- NPI assigned
- Sep 23, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 90209 | CA | Primary |
Addresses
Primary practice location
3970 Rivermark PLZ
Santa Clara, CA 95054-4155
Mailing address
3970 Rivermark PLZ
Santa Clara, CA 95054-4155
Phone (408) 855-0985
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 |
|---|---|---|---|
| 90209 | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1457178279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3970 RIVERMARK PLZ",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950544155",
"telephone_number": "408-855-0985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3970 RIVERMARK PLZ",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950544155",
"telephone_number": "408-855-0985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "FELICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-23",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "90209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.