Active NPI
Oanh H Pham, RPH
- Pharmacist
- Kent, WA
National Provider Identifier
1770830705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00060055
- Practice address
- 20600 108TH Ave SE
Kent, WA 98031-1536 - Phone
- (253) 850-0351
- Fax
- (253) 850-0784
- NPI assigned
- Aug 9, 2012
- Sex
- Female
- 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 | PH00060055 | WA | Primary |
Addresses
Primary practice location
20600 108TH Ave SE
Kent, WA 98031-1536
Mailing address
859 Jericho PL NE
Renton, WA 98059
Phone (425) 793-7553
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4928404 | Other | WA | NCPDP/NABP |
| 1841246469 | Other | WA | NPI |
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00060055 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1770830705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "859 JERICHO PL NE",
"city": "RENTON",
"state": "WA",
"postal_code": "98059",
"telephone_number": "425-793-7553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20600 108TH AVE SE",
"city": "KENT",
"state": "WA",
"postal_code": "980311536",
"telephone_number": "253-850-0351",
"fax_number": "253-850-0784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "OANH",
"middle_name": "H",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-09",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00060055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP/NABP",
"identifier": "4928404",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1841246469",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.