Duy Trong Pham

Primary specialty

PharmacistTaxonomy code 183500000X

License

S024859 Issued in AZ

Practice address

4816 S Ash Ave Ste 101
Tempe, AZ 85282-7735

Phone

(855) 857-4701

NPI assigned

Sep 3, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1801400197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E WARNER RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963138",
            "telephone_number": "480-892-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4816 S ASH AVE STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827735",
            "telephone_number": "855-857-4701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 E Warner Rd",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852963138",
            "country_code": "US",
            "telephone_number": "480-892-1348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "DUY",
        "middle_name": "TRONG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-03",
        "last_updated": "2021-08-05",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S024859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Petterson, OTR/L, CDMS
• Michael John Peuse, DC
• Crista Pfeiffer
• Sharon Kaye Pfeiffer, PNP
• Daryl R Pfister, M.D.
• Ethan Pham
• Kimberly Pham, PHARMD
• Thu Thuy Thi Pham, RDH
• Tracey Diep Pham, PHARMD
• Ashley Marie Phelps, R.N.

• Pharmacist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.