Active NPI
Luan Dinh Pham, PHARMD
- Pharmacist
- West Palm Beach, FL
National Provider Identifier
1689108748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS55146
- Practice address
- 454 Park Ave
West Palm Beach, FL 33403-2602 - Phone
- (561) 685-3530
- NPI assigned
- Apr 16, 2017
- 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 | PS55146 | FL | Primary |
Addresses
Primary practice location
454 Park Ave
West Palm Beach, FL 33403-2602
Mailing address
5050 Wesley Rd Ste 110
Apopka, FL 32712-5908
Phone (866) 943-4535
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 |
|---|---|---|---|
| PS55146 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1689108748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5050 WESLEY RD STE 110",
"city": "APOPKA",
"state": "FL",
"postal_code": "327125908",
"telephone_number": "866-943-4535",
"fax_number": "407-789-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "454 PARK AVE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334032602",
"telephone_number": "561-685-3530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "LUAN",
"middle_name": "DINH",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-16",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS55146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.