Active NPI
Timothy Pham
- Community/Retail Pharmacy
- Sunrise, FL
National Provider Identifier
1912817750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PS71436
- Practice address
- 3306 N University Dr
Sunrise, FL 33351-6773 - Phone
- (954) 749-5781
- NPI assigned
- Sep 11, 2026
- Last updated
- Sep 11, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PS71436 | FL | Primary |
Addresses
Primary practice location
3306 N University Dr
Sunrise, FL 33351-6773
Mailing address
1240 S Pine Island Rd Apt 222
Plantation, FL 33324-4493
Phone (407) 802-8367
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1912817750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 S PINE ISLAND RD APT 222",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333244493",
"telephone_number": "407-802-8367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3306 N UNIVERSITY DR",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333516773",
"telephone_number": "954-749-5781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "TIMOTHY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-11",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PS71436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunrise, FL
- Maggie Christine Petersen, M.S., CCC-SLP
- Kevin Joseph Peterson, DPT
- Vanessa Marissa Petro, RN
- Howard Bruce Petusevsky, DPM
- Carol Rimron Pfrogner, CRNA
- Pharma Express Inc (Pharma Express)
- Pharmabill LLC
- Pharmscript of Florida LLC (Pharmscript of Florida South)
- Rose Linda Philip-Olivert
- Chimika Y Philippe
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.