Kimberly Tuong VI Pham

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

67137 Issued in TX

Practice address

2400 Avenue I
Huntsville, TX 77340-5830

Phone

(936) 437-5300

NPI assigned

Aug 12, 2020

Sex

Female

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

State licenses

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.

• University of Texas Medical Branch at Galveston

  • Institutional Pharmacy
  • Huntsville, TX
  • NPI 1770525305
  NPD (past)

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1477164614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FOUNTAINS LN APT 2106",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773045046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 AVENUE I",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773405830",
            "telephone_number": "936-437-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "KIMBERLY",
        "middle_name": "TUONG VI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "TX",
            "license": "67137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary J Peebles, PHARMD
• Jonathan Edmond Pepper, M.D.
• Belinda Ann Perez-Hernandez
• Richard M Perry, D.O.
• Gregory D Peter, D.C.
• Philco Inc
• Phillips Specialty Services
• Ralph Phillips
• Physical Therapy Associates
• Jerald Dean Pilling, L.P.T.

• Ambulatory Care Pharmacist in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Ambulatory Care Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.