Jessica Pham, PHARM D

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RPH019249 Issued in GA

Practice address

950 Herrington Rd
Lawrenceville, GA 30044-7217

Phone

(770) 995-6210

Fax

(770) 962-3684

NPI assigned

Oct 15, 2020

Sex

Female

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

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1730787391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 HERRINGTON RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300447217",
            "telephone_number": "770-995-6210",
            "fax_number": "770-962-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 HERRINGTON RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300447217",
            "telephone_number": "770-995-6210",
            "fax_number": "770-962-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "JESSICA",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "GA",
            "license": "RPH019249",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH019249",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Ann Petterson, PH.D.
• Faresa N Petti Daniel, COTA
• Donald Minh Pham, M.D.
• Hongvien Pham, PHARM D
• Jamila-Duyen P Pham, MD
• Tu Oai Vu Pham, CSA
• Dalena Phan, LMSW
• Emmeleen F Phan, MD
• Donna Marie Pharis, ED.S,CCC-SLP
• Pharmacy Investments of Lawrenceville, LLC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.