Thanh Thao Thi Pham

Primary specialty

PharmacistTaxonomy code 183500000X

License

61024 Issued in TX

Practice address

4060 Faudree Rd Ste 101
Odessa, TX 79765-8755

Phone

(432) 614-6828

Fax

(432) 614-6829

NPI assigned

Jan 21, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Dorado RX Pharmacy,LLC

  • Community/Retail Pharmacy
  • Odessa, TX
  • NPI 1962918581
  NPD (past)

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1609466820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 FAUDREE RD STE 101",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 FAUDREE RD STE 101",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658755",
            "telephone_number": "432-614-6828",
            "fax_number": "432-614-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "THANH THAO",
        "middle_name": "THI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "61024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ballah G. Pewee, QMHP
• Erin Elizabeth Pfeil, CCC-SLP
• Elizabeth Pham
• Huy Duc Pham, PHARM. D
• Nguyen Pham, MD
• Travis Cong Pham, MD
• Henry Phe, PHARMD
• Indavong Phonasa, FNP-C
• Physician Management Services of Western Texas, LLC
• Physician Network Association

• Pharmacist in Odessa, TX
• Providers in Odessa, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.