Ngoc Mai Pham

Primary specialty

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

License

59170 Issued in TX

Practice address

2200 FM 663
Midlothian, TX 76065-5600

Phone

(469) 336-2041

NPI assigned

Oct 19, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ngoc Mai Pham Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Kroger Texas L P

  • Community/Retail Pharmacy
  • Midlothian, TX
  • NPI 1730601782
  NPD (past)
• Kroger Texas LP

  • Community/Retail Pharmacy
  • Fort Worth, TX
  • NPI 1407747439
  NPD (past)

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1750980090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 PIERRON DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760023653",
            "telephone_number": "817-583-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FM 663",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760655600",
            "telephone_number": "469-336-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "NGOC MAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "59170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NGOC",
            "last_name": "PHAM",
            "middle_name": "MAI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Londyn Peeler, D.C.
• Santhi Penmetsa, MD
• Manuel Perez-Parra, LMSW
• Moises Perez
• My Phuong Pham, PA
• Thai Pham, PHARMD
• Kelly Phelps, MS, CCC-SLP
• Phillip Johnson DDS, PLLC
• Ambre Rae Phipps, APRN FNP
• Physician House Calls of Texas, P.a.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Midlothian, TX
• Providers in Midlothian, TX by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.