Active NPI
Heidi Thi Pham
- Pharmacist
- Fullerton, CA
National Provider Identifier
1508134701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 58980
- Practice address
- 1826 W Orangethorpe Ave
Fullerton, CA 92833 - Phone
- (714) 526-9157
- NPI assigned
- Dec 2, 2011
- Sex
- Female
- 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 | 58980 | CA | Primary |
Addresses
Primary practice location
1826 W Orangethorpe Ave
Fullerton, CA 92833
Mailing address
11915 Singleton Dr
La Mirada, CA 90638
Phone (562) 944-5903
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": "1322784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1508134701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11915 SINGLETON DR",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "90638",
"telephone_number": "562-944-5903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1826 W ORANGETHORPE AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "92833",
"telephone_number": "714-526-9157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "HEIDI",
"middle_name": "THI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-02",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "58980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.