Tina Pham, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

45451 Issued in TN

Practice address

9325 Poplar Ave
Germantown, TN 38138-7906

Phone

(901) 309-1609

NPI assigned

Aug 30, 2021

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

Credentials

Doctor of Pharmacy

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
  • Germantown, TN
  • NPI 1265449268
  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": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1497423115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3793 FERN HOLLOW RD APT 206",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381256577",
            "telephone_number": "901-461-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 POPLAR AVE",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381387906",
            "telephone_number": "901-309-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "TINA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "45451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Perlich, PT, DPT
• Ida Pernell, CRNA
• Amanda Denise Person, APN
• Patrick R Person, D.D.S.
• Personalized Care LLC
• Pharmnp Enterprises LLC
• Catherine Grace Phelps Donahoo, NP
• Leah Elizabeth Philip, BCBA
• Phillip R. Langsdon MD Facs PLLC
• Barry B Phillips, M.D.

• Pharmacist in Germantown, TN
• Providers in Germantown, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.