Individual provider Active NPI

Mai Thi Pham

  • Pharmacist
  • Thornton, CO
National Provider Identifier
1891095709
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15281 Issued in CO
Practice address
771 Thornton Pkwy
Thornton, CO 80229-3680
Phone
(303) 280-8218
Fax
(303) 452-0563
NPI assigned
Oct 26, 2010
Sex
Female
Sole proprietor
No

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

LicenseStateTypeSpecialty
15281COMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15281 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

771 Thornton Pkwy
Thornton, CO 80229-3680

Mailing address

771 Thornton Pkwy
Thornton, CO 80229-3680
Phone (303) 280-8218

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 26, 2010.

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1891095709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 THORNTON PKWY",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802293680",
            "telephone_number": "303-280-8218",
            "fax_number": "303-452-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 THORNTON PKWY",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802293680",
            "telephone_number": "303-280-8218",
            "fax_number": "303-452-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "MAI",
        "middle_name": "THI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "15281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.

Verify at the official NPI Registry.