Active NPI
Brian Pham
- Pharmacist
- Stockton, CA
National Provider Identifier
1477215994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 84756
- Practice address
- 89 W March Lane
Suite 2
Stockton, CA 95207-4418 - Phone
- (209) 870-2760
- Fax
- (209) 870-2769
- NPI assigned
- Oct 12, 2021
- Last updated
- Oct 30, 2024
- Sex
- Male
- 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 | 84756 | CA | Primary |
Addresses
Primary practice location
89 W March Lane
Suite 2
Stockton, CA 95207-4418
Mailing address
89 W March Lane
Suite 2
Stockton, CA 95207-4418
Phone (209) 870-2760
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 |
|---|---|---|---|
| 84756 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| March Therapeutics LLC | Current | Accepting new patients | |
| March Therapeutics LLC | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
89 W March Ln
Ste 2
Stockton, CA 95207
Phone (209) 870-2760
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba March Lane Medical Pharmacy
- Long Term Care Pharmacy
- Stockton, CA
- NPI 1134956683
-
dba March Lane Medical Pharmacy
- Community/Retail Pharmacy
- Stockton, CA
- NPI 1386784825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1477215994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 W MARCH LANE",
"address_2": "SUITE 2",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952074418",
"telephone_number": "209-870-2760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 W MARCH LANE",
"address_2": "SUITE 2",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952074418",
"telephone_number": "209-870-2760",
"fax_number": "209-870-2769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "BRIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-12",
"last_updated": "2024-10-30",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "84756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.