Active NPI
Thy Pham
- Pharmacist
- Tucker, GA
National Provider Identifier
1770022717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH022317
- Practice address
- 2212 Fellowship Rd
Tucker, GA 30084-4609 - Phone
- (404) 590-3785
- Fax
- (678) 883-0856
- NPI assigned
- Feb 22, 2017
- Sex
- Male
- 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 | RPH022317 | GA | Primary |
Addresses
Primary practice location
2212 Fellowship Rd
Tucker, GA 30084-4609
Mailing address
2215 Cheshire Bridge Rd NE Ste D
Atlanta, GA 30324-4234
Phone (404) 590-3785
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH022317 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phamcarerx LLC | Pharmacist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1770022717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 CHESHIRE BRIDGE RD NE STE D",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303244234",
"telephone_number": "404-590-3785",
"fax_number": "678-883-0856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2212 FELLOWSHIP RD",
"city": "TUCKER",
"state": "GA",
"postal_code": "300844609",
"telephone_number": "404-590-3785",
"fax_number": "678-883-0856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "THY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-22",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH022317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
- Tiffany Person, MSW
- Perspectives Center for Holistic Therapy
- Christopher Daniel Pesut, DMD
- Petagaye Antoinette Peterkin, APRN
- Mai-Ahn Pham, MD
- Phamcarerx LLC (Atlanta Compounding Pharmacy)
- Physical Therapy Specialists Inc.
- Physical Therapy Specialists, Inc
- Physiotherapy Associates Inc
- Dana G Piccirillo, D.C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.