Active NPI
Quocbao Pham, PHARMD.
- Pharmacotherapy Pharmacist
- Silver Spring, MD
National Provider Identifier
1689702144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 16407
- Practice address
- 1500 Forest Glen Rd
Silver Spring, MD 20910-1483 - Phone
- (301) 754-7126
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 16407 | MD | Primary |
Addresses
Primary practice location
1500 Forest Glen Rd
Silver Spring, MD 20910-1483
Mailing address
2401 Kansas Ave
Silver Spring, MD 20910-1954
Phone (301) 518-8514
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16407 | Other | MD | PHARMACY LICENSE |
| P-500-723-015-866 | Other | MD | DRIVER'S LICENSE |
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 |
|---|---|---|---|
| 16407 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689702144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 KANSAS AVE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209101954",
"telephone_number": "301-518-8514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 FOREST GLEN RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209101483",
"telephone_number": "301-754-7126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "QUOCBAO",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MD",
"license": "16407",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "16407",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "P-500-723-015-866",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.