Active NPI
Hanh Pham
- Pharmacist
- Stockton, CA
National Provider Identifier
1548558364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60583
- Practice address
- 10424 Trinity Pkwy
T-1862
Stockton, CA 95219-7225 - Phone
- (209) 235-0252
- Fax
- (209) 235-0252
- NPI assigned
- Jul 13, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 60583 | CA | Primary |
| Pharmacist | 183500000X | 36322 | TX | |
| Pharmacist | 183500000X | PS42820 | FL |
Addresses
Primary practice location
10424 Trinity Pkwy
T-1862
Stockton, CA 95219-7225
Mailing address
10424 Trinity Pkwy
T-1862
Stockton, CA 95219-7225
Phone (209) 235-0252
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 |
|---|---|---|---|
| 60583 | CA | MD | Marriage & Family Therapist |
| PS42820 | FL | MD | Pharmacist |
| 36322 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310515200000",
"number": "1548558364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10424 TRINITY PKWY",
"address_2": "T-1862",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952197225",
"telephone_number": "209-235-0252",
"fax_number": "209-235-0252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10424 TRINITY PKWY",
"address_2": "T-1862",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952197225",
"telephone_number": "209-235-0252",
"fax_number": "209-235-0252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "HANH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-13",
"last_updated": "2011-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "60583",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "36322",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS42820",
"primary": false
}
],
"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 Jul 13, 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.