Active NPI
An Hong Pham
- Ambulatory Care Pharmacist
- Oakland, CA
National Provider Identifier
1497395271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 81106
- Practice address
- 3701 Broadway FL 4
Oakland, CA 94611-5613 - Phone
- (951) 224-7915
- NPI assigned
- Jan 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 81106 | CA | |
| Ambulatory Care Pharmacist | 1835P2201X | 81106 | CA | Primary |
Addresses
Primary practice location
3701 Broadway FL 4
Oakland, CA 94611-5613
Mailing address
27740 Vanilla CT
Menifee, CA 92585-9343
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 |
|---|---|---|---|
| 81106 | CA | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1497395271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27740 VANILLA CT",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925859343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 BROADWAY FL 4",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115613",
"telephone_number": "951-224-7915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "AN",
"middle_name": "HONG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-09",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "81106",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "CA",
"license": "81106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.