Active NPI
Canh Minh Pham, PHARMD
- Pharmacist
- Puyallup, WA
National Provider Identifier
1871843003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00022358
- Practice address
- 1100 N Meridian
Puyallup, WA 98371-4403 - Phone
- (253) 840-8183
- Fax
- (253) 840-8177
- NPI assigned
- Sep 14, 2012
- 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 | 183500000X | PH00022358 | WA | Primary |
Addresses
Primary practice location
1100 N Meridian
Puyallup, WA 98371-4403
Mailing address
1100 N Meridian
Puyallup, WA 98371-4403
Phone (253) 840-8183
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00022358 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347580800000",
"number": "1871843003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 N MERIDIAN",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983714403",
"telephone_number": "253-840-8183",
"fax_number": "253-840-8177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N MERIDIAN",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983714403",
"telephone_number": "253-840-8183",
"fax_number": "253-840-8177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "CANH",
"middle_name": "MINH",
"name_prefix": "Mr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-14",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00022358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.