Active NPI
Queenie Quynh Pham, RPH
- Pharmacist
- Westminster, CA
National Provider Identifier
1598084402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 54304
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 54304 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BT Drugs Inc | Current | Accepting new patients | |
| BT Drugs Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients | |
| KM2 Healthcare Inc | Past | 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.
-
- Long Term Care Pharmacy
- Westminster, CA
- NPI 1457151144
-
- Community/Retail Pharmacy
- Westminster, CA
- NPI 1336599638
-
- Community/Retail Pharmacy
- Arcadia, CA
- NPI 1003322835
-
- Community/Retail Pharmacy
- Anaheim, CA
- NPI 1053420414
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
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.