Katie Pham

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS60212 Issued in FL

Practice address

815 W Boynton Beach Blvd Apt 1103
Boynton Beach, FL 33426-3695

Phone

(561) 603-4194

NPI assigned

Mar 17, 2021

Last updated

Mar 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1700461118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 W BOYNTON BEACH BLVD APT 1103",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263695",
            "telephone_number": "561-603-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 W BOYNTON BEACH BLVD APT 1103",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263695",
            "telephone_number": "561-603-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "KATIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS60212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Santiesteban DC PA
• Thomas Rex Peterson, DO
• Valery L. Petit-Homme
• Lauren Petrides
• Teresa Pfaff, M.D.
• Phanord Meridian Health LLC
• Kapouchine Pharel, LPN
• Pharm X Universal LLC (PharmXhealthOne)
• Pharm-Assist Consultants
• Pharmacy Healthcare Services Inc.

• Pharmacist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.