Active NPI
Xuan Quynh Pham
- Pharmacist
- Greenwood, SC
National Provider Identifier
1891238267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 36894
- Practice address
- 254 Bypass 72 NW
Pharmacy
Greenwood, SC 29649-1509 - Phone
- (864) 229-1398
- Fax
- (864) 229-1620
- NPI assigned
- Dec 2, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 36894 | SC | Primary |
Addresses
Primary practice location
254 Bypass 72 NW
Pharmacy
Greenwood, SC 29649-1509
Mailing address
254 Bypass 72 NW
Pharmacy
Greenwood, SC 29649-1509
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 |
|---|---|---|---|
| 36894 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480636800000",
"number": "1891238267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 BYPASS 72 NW",
"address_2": "PHARMACY",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296491509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 BYPASS 72 NW",
"address_2": "PHARMACY",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296491509",
"telephone_number": "864-229-1398",
"fax_number": "864-229-1620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "XUAN QUYNH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-02",
"last_updated": "2016-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "36894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.