Mini Thuong Xa Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054009321 Issued in IL

Legal business name

MINI THUONG XA PHARMACY INC

Practice address

1069 W Argyle St
Chicago, IL 60640-3707

Phone

(773) 728-1007

Fax

(773) 728-7267

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Nam Pham, RPH

Title

President

Phone

(773) 230-2699

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• MINI THUONG XA PHARMACY Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jack M Pham, DNP, APRNFPA, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1427566454
  NPD

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1659425577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 408975",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606400023",
            "telephone_number": "773-728-1007",
            "fax_number": "773-728-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 W ARGYLE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403707",
            "telephone_number": "773-728-1007",
            "fax_number": "773-728-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINI THUONG XA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "NAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-230-2699",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054009321",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2022077",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MINI THUONG XA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nikki Miner, MS, CCC-SLP
• Tod Miner, PT
• Barry W Minerof, DPM
• Emily Minerva, FNP
• Lauren Ming
• Mini Wonders Chicago LLC
• Michael Minieka, M.D.
• Mark D Minier, MD
• Minimally Invasive Therapy Partners S.C.
• Minimally Invasive Therapy Partners SC

• Community/Retail Pharmacy in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.