Active NPI
Minh Pham
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Greensboro, NC
National Provider Identifier
1780119636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 16869
- Practice address
- 301 E Wendover Ave
Suite 111
Greensboro, NC 27401-1230 - Phone
- (336) 832-7840
- Fax
- (336) 832-8881
- NPI assigned
- Apr 28, 2017
- Sex
- Male
- Sole proprietor
- No
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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 16869 | NC | Primary |
Addresses
Primary practice location
301 E Wendover Ave
Suite 111
Greensboro, NC 27401-1230
Mailing address
301 E Wendover Ave
Suite 111
Greensboro, NC 27401-1230
Phone (336) 832-7840
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 |
|---|---|---|---|
| 16869 | NC | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493337600000",
"number": "1780119636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 E WENDOVER AVE",
"address_2": "SUITE 111",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011230",
"telephone_number": "336-832-7840",
"fax_number": "336-832-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E WENDOVER AVE",
"address_2": "SUITE 111",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011230",
"telephone_number": "336-832-7840",
"fax_number": "336-832-8881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "MINH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-28",
"last_updated": "2017-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NC",
"license": "16869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.