Active NPI
Eliza Pham
- Pharmacist
- Linden, NJ
National Provider Identifier
1861715484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03209400
- Practice address
- 1900 E Linden Ave
Linden, NJ 07036-1133 - Phone
- (908) 587-9834
- NPI assigned
- Mar 10, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03209400 | NJ | Primary |
| Pharmacist | 183500000X | 054389 | NY |
Addresses
Primary practice location
1900 E Linden Ave
Linden, NJ 07036-1133
Mailing address
1900 E Linden Ave
Linden, NJ 07036-1133
Phone (908) 587-9834
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 |
|---|---|---|---|
| 28RI03209400 | NJ | MD | Pharmacist |
| 054389 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268179200000",
"number": "1861715484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 E LINDEN AVE",
"city": "LINDEN",
"state": "NJ",
"postal_code": "070361133",
"telephone_number": "908-587-9834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 E LINDEN AVE",
"city": "LINDEN",
"state": "NJ",
"postal_code": "070361133",
"telephone_number": "908-587-9834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "ELIZA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-10",
"last_updated": "2010-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03209400",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "054389",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Linden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.