Active NPI
Mai-Khoi Pham, PHARMD
- Pharmacist
- Andover, KS
National Provider Identifier
1649795709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-102894
- Practice address
- 225 E Cloud Ave
Andover, KS 67002-8824 - Phone
- (316) 733-3725
- NPI assigned
- Aug 10, 2017
- 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 | 1-102894 | KS | Primary |
Addresses
Primary practice location
225 E Cloud Ave
Andover, KS 67002-8824
Mailing address
1816 N Peckham Cir
Wichita, KS 67230-1787
Phone (316) 516-6421
Other names 1
- Molly Vu Pham
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-102894 | KS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502323200000",
"number": "1649795709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1816 N PECKHAM CIR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672301787",
"telephone_number": "316-516-6421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E CLOUD AVE",
"city": "ANDOVER",
"state": "KS",
"postal_code": "670028824",
"telephone_number": "316-733-3725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "MAI-KHOI",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-10",
"last_updated": "2017-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-102894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MOLLY",
"last_name": "PHAM",
"middle_name": "VU",
"credential": "PHARMD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Andover, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.