Individual provider Active NPI

Nhu Dinh Pham

  • Pharmacist
  • Baldwin Park, CA
National Provider Identifier
1669269403
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH90339 Issued in CA
Practice address
14235 Cedarwood Ave
Baldwin Park, CA 91706-5215
Phone
(626) 246-2315
NPI assigned
Apr 24, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH90339 CA Primary

Addresses

Primary practice location

14235 Cedarwood Ave
Baldwin Park, CA 91706-5215

Mailing address

14235 Cedarwood Ave
Baldwin Park, CA 91706-5215
Phone (626) 246-2315

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

LicenseStateTypeSpecialty
RPH90339CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1669269403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14235 CEDARWOOD AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065215",
            "telephone_number": "626-246-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14235 CEDARWOOD AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065215",
            "telephone_number": "626-246-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "NHU",
        "middle_name": "DINH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH90339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.