Active NPI
Alex Toan Pham
- Pharmacy Technician
- Mercer Island, WA
National Provider Identifier
1497421952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- Practice address
- 3023 78TH Ave SE
Mercer Island, WA 98040-2822 - Phone
- (206) 236-0776
- NPI assigned
- Aug 16, 2021
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | Primary |
Addresses
Primary practice location
3023 78TH Ave SE
Mercer Island, WA 98040-2822
Mailing address
5517 NE 9TH St
Renton, WA 98059-4630
Phone (253) 285-2705
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1497421952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5517 NE 9TH ST",
"city": "RENTON",
"state": "WA",
"postal_code": "980594630",
"telephone_number": "253-285-2705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3023 78TH AVE SE",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980402822",
"telephone_number": "206-236-0776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "ALEX",
"middle_name": "TOAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-16",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mercer Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.