Andrew Ngoc-Minh Pham, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

79307 Issued in CA

Practice address

8510 Balboa Blvd Ste 150
Northridge, CA 91325-5810

Phone

(818) 654-3400

NPI assigned

Apr 9, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Interoperability endpoints

• Direct secure messaging: andrew.pham.p1@direct.lakeside.nextgenshare.com
• Direct secure messaging: andrew.phampharmd.p1@direct.vistacommunityclinic.nextgenshare.com

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1457858144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 LA GRANGE AVE APT 230",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256866",
            "telephone_number": "714-363-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8510 BALBOA BLVD STE 150",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913255810",
            "telephone_number": "818-654-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "ANDREW",
        "middle_name": "NGOC-MINH",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "79307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Pertuiset
• Daria Peshcherova, OT
• Shannon Pesicka, CCC-SLP
• Eduardo Federico Pesqueira
• Hannah Peterson
• Tra Mi N Pham
• Evonne Hoa Phan
• Raymond Thanhle Phan, DO
• Philip S Shore M D Inc
• Beth Jo Phillips, PT, DPA

• Pharmacist in Northridge, CA
• Providers in Northridge, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.