Ira Pham DO, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

056366 Issued in NY

Practice address

155 Crystal St
Brooklyn, NY 11208-2624

Phone

(718) 484-8157

NPI assigned

May 22, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Pharmacy Specialist Group Inc

  • Pharmacy
  • Brooklyn, NY
  • NPI 1487042701
  NPD (past)
• Salaam Pharmacy Inc.

  • Pharmacy
  • Brooklyn, NY
  • NPI 1811339112
  NPD (past)

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495411200000",
    "number": "1710414701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 27TH ST APT 5G",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013839",
            "telephone_number": "917-209-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 CRYSTAL ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112082624",
            "telephone_number": "718-484-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "IRA",
        "middle_name": "PHAM",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-22",
        "last_updated": "2017-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02989200",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "056366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DN Special Services Inc.
• Dna Pain Management LLC
• Dna Pain Management Services- FNP, PC
• DNL Power Mobility and Assistive Technology Corp
• Hai DO, D.D.S.
• Khang DO, DO
• Linda DO, DPM
• Andrew Anh Phuong Doan, DDS
• Kathleen Dobbin-Winkler, PT
• Erica Dobbins, LMSW

• Pharmacist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; 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.