Therese Thuytien Pham

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RPH-0016992 Issued in OR

Practice address

2500 Main Ave N
Tillamook, OR 97141-7784

Phone

(503) 815-1433

Fax

(503) 815-1427

NPI assigned

Nov 4, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fred Meyer Stores Inc

  dba Fred Meyer Pharmacy

  • Community/Retail Pharmacy
  • Vancouver, WA
  • NPI 1437194826
  NPD (past)
• Fred Meyer Stores Inc.

  dba QFC Pharmacy #835

  • Community/Retail Pharmacy
  • Lynnwood, WA
  • NPI 1558235762
  NPD (past)

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

{
    "created_epoch": "1541289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1932677382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MAIN AVE N",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971417784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MAIN AVE N",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971417784",
            "telephone_number": "503-815-1433",
            "fax_number": "503-815-1427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7411 NE 117th Ave",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986624706",
            "country_code": "US",
            "telephone_number": "360-896-3533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 SE 22nd Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972022918",
            "country_code": "US",
            "telephone_number": "503-797-3845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "THERESE",
        "middle_name": "THUYTIEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-04",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0016992",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60875220",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "RPH-0016992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Rose Patterson
• Melissa Paulissen, M.D.
• Alexis Llemal Perez-Medina, MA
• Cassandra Persons
• Julie Peters Brainerd, RN
• Alexandria Pilkington, PHARMD
• Todd A Pitts, MD
• Portland Adventist Medical Center (Adventist Health-Tillamook Home Care Services)
• Powerback Rehabilitation LLC (Powerback Rehabilitation)
• Shannon Pullen

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Tillamook, OR
• Providers in Tillamook, OR by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.