Individual provider Active NPI

Queenie Quynh Pham, RPH

  • Pharmacist
  • Westminster, CA
National Provider Identifier
1598084402
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
54304 Issued in CA
Practice address
14262 Beach Blvd
Westminster, CA 92683-4562
Phone
(714) 622-5992
NPI assigned
May 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 54304 CA Primary

Addresses

Primary practice location

14262 Beach Blvd
Westminster, CA 92683-4562

Mailing address

17169 Oak St
Fountain Valley, CA 92708-3441
Phone (714) 585-4023

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
54304CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
BT Drugs Inc CurrentSince Mar 20, 2025 Accepting new patients
BT Drugs Inc PastSince Sep 8, 2024 Accepting new patients
Thrifty Payless Inc Past Accepting new patients
Thrifty Payless Inc Past Accepting new patients
KM2 Healthcare Inc PastSince Feb 1, 2023 Accepting new patients

Locations

14262 Beach Blvd
Westminster, CA 92683
Phone (714) 622-5992

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1598084402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17169 OAK ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083441",
            "telephone_number": "714-585-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14262 BEACH BLVD",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834562",
            "telephone_number": "714-622-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "QUEENIE",
        "middle_name": "QUYNH",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "54304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.