Anh Thu Nu Pham, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH52983 Issued in CA

Practice address

7345 Linda Vista Rd Ste B
San Diego, CA 92111-5800

Phone

(858) 256-9248

Fax

(858) 997-2426

NPI assigned

Dec 12, 2011

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Proactive Care Pharmacy, LLC.

  • Community/Retail Pharmacy
  • San Diego, CA
  • NPI 1205464658
  NPD Authorized official

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594425600000",
    "number": "1902174402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11859 TRAIL CREST DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921316147",
            "telephone_number": "858-271-5404",
            "fax_number": "858-997-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 LINDA VISTA RD STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115800",
            "telephone_number": "858-256-9248",
            "fax_number": "858-997-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "ANH",
        "middle_name": "THU NU",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-12",
        "last_updated": "2020-07-11",
        "certification_date": "2020-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH52983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pham and Mauseth DDS Inc
• Pham DDS Dental Corp
• Oanh Pham Hutson
• Andy Nghia Pham, DPT
• Angela Pham, MD
• Anh-Tu Pham
• Anthony Pham
• Anthony Tai Quang Pham, D.D.S.
• Audrey Pham, MD, MPH
• Cassidy Phuong Pham

• Pharmacist in San Diego, CA
• Providers in San Diego, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2020; 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.