Active NPI
Laura Pham
- Pharmacist
- Mineola, NY
National Provider Identifier
1669338208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 073226
- Practice address
- 259 1St St
Mineola, NY 11501-3957 - Phone
- (646) 354-8444
- NPI assigned
- Dec 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 073226 | NY | Primary |
Addresses
Primary practice location
259 1St St
Mineola, NY 11501-3957
Mailing address
16423 77TH Ave
Fresh Meadows, NY 11366-1219
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
| License | State | Type | Specialty |
|---|---|---|---|
| 073226 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766966400000",
"number": "1669338208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16423 77TH AVE",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113661219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 1ST ST",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115013957",
"telephone_number": "646-354-8444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "LAURA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-29",
"last_updated": "2025-12-29",
"certification_date": "2025-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "073226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.