Mong-Diep Thi Pham

Primary specialty

PharmacistTaxonomy code 183500000X

License

55568 Issued in CA

Practice address

2750 San Gabriel Blvd
Rosemead, CA 91770

Phone

(626) 288-2154

Fax

(626) 288-2742

NPI assigned

Nov 23, 2011

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Rosemead, CA
  • NPI 1669487757
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1467729194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12119 RANCHITO ST",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917323256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 SAN GABRIEL BLVD",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "91770",
            "telephone_number": "626-288-2154",
            "fax_number": "626-288-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "MONG-DIEP",
        "middle_name": "THI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "55568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly K. Peterson, LVN
• Anh Tu Pham, D.D.S.
• Hoang-Trung Pham
• Jennie Bichchi Pham, PSY.D.
• Maria H Pham
• Ngoc-Anh Pham
• Tung Thanh Pham, LAC
• Diem Hong Phan, BS
• Emily Phan
• Pharmilycare Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.

Verify at the official NPI Registry.