Active NPI
Phuong Pham, PHARM. D
- Pharmacist
- Orlando, FL
National Provider Identifier
1669741823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS36086
- Practice address
- 5185 North LN
Orlando, FL 32808-2088 - Phone
- (407) 298-6970
- Fax
- (407) 521-1197
- NPI assigned
- Dec 17, 2011
- Sex
- Male
- 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 | PS36086 | FL | Primary |
Addresses
Primary practice location
5185 North LN
Orlando, FL 32808-2088
Mailing address
5185 North LN
Orlando, FL 32808-2088
Phone (407) 298-6970
Other names 1
- Dr. Steve 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 |
|---|---|---|---|
| PS36086 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324080000000",
"number": "1669741823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5185 NORTH LN",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328082088",
"telephone_number": "407-298-6970",
"fax_number": "407-521-1197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5185 NORTH LN",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328082088",
"telephone_number": "407-298-6970",
"fax_number": "407-521-1197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "PHUONG",
"name_prefix": "Dr.",
"credential": "PHARM. D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-17",
"last_updated": "2011-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS36086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEVE",
"last_name": "PHAM",
"prefix": "DR.",
"credential": "PHARM. D",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.