Active NPI
Tam Thi Thanh Phan
- Pharmacist
- League City, TX
National Provider Identifier
1609181734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 38955
- Practice address
- 2955 Gulf Fwy S
League City, TX 77573-6750 - Phone
- (281) 337-5210
- NPI assigned
- Aug 12, 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 | 38955 | TX | Primary |
Addresses
Primary practice location
2955 Gulf Fwy S
League City, TX 77573-6750
Mailing address
3120 Maple Hill Dr
Friendswood, TX 77546-5373
Phone (281) 557-4837
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 |
|---|---|---|---|
| 38955 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281571200000",
"number": "1609181734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3120 MAPLE HILL DR",
"city": "FRIENDSWOOD",
"state": "TX",
"postal_code": "775465373",
"telephone_number": "281-557-4837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2955 GULF FWY S",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775736750",
"telephone_number": "281-337-5210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "TAM",
"middle_name": "THI THANH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-12",
"last_updated": "2010-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "38955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in League City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.