Minh Triet Pham

Primary specialty

PharmacistTaxonomy code 183500000X

License

75058 Issued in CA

Practice address

5830 Jameson CT # B
Carmichael, CA 95608-0896

Phone

(916) 481-6900

NPI assigned

Mar 14, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Minhtriet Pham Other name

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.

• Innova Pharmaceuticals Inc

  • Community/Retail Pharmacy
  • Carmichael, CA
  • NPI 1568529915
  NPD (past)

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1659812352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7937 CAYMUS DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958291446",
            "telephone_number": "916-346-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 JAMESON CT # B",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080896",
            "telephone_number": "916-481-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "MINH TRIET",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "75058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINHTRIET",
            "last_name": "PHAM",
            "credential": "RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anna Alekseevna Petrovich, D.O.
• Sherry Marie Petta, BSW
• Craig Nelson Pfeiffer, MD
• David V Pham, MD
• Hoang N Pham, MD
• Sheri Pham
• Tan N. Pham, M.D.
• Xuan Pham, M.D.
• Stephanie Phan, PSYD
• Claudia Manuela Phene

• Pharmacist in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.