Active NPI
Anatasia Hoang Pham, PHARMD
- Pharmacist
- Kankakee, IL
National Provider Identifier
1699637116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.307706
- Practice address
- 1050 N Kennedy Dr
Kankakee, IL 60901-2033 - Phone
- (815) 932-9615
- NPI assigned
- Dec 2, 2025
- Last updated
- Dec 2, 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 | 051.307706 | IL | Primary |
Addresses
Primary practice location
1050 N Kennedy Dr
Kankakee, IL 60901-2033
Mailing address
302 Chesterfield CT
Bourbonnais, IL 60914-9653
Phone (660) 383-6392
Other practice location 1
1163 W Jefferson St
Joliet, IL 60435-6858
Phone (815) 744-4002
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 |
|---|---|---|---|
| 051.307706 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1699637116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 CHESTERFIELD CT",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609149653",
"telephone_number": "660-383-6392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 N KENNEDY DR",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609012033",
"telephone_number": "815-932-9615"
}
],
"practiceLocations": [
{
"address_1": "1163 W Jefferson St",
"address_purpose": "LOCATION",
"city": "Joliet",
"state": "IL",
"postal_code": "604356858",
"country_code": "US",
"telephone_number": "815-744-4002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAM",
"first_name": "ANATASIA",
"middle_name": "HOANG",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-02",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.307706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kankakee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.