Cynthia Thai Pham

Primary specialty

PharmacistTaxonomy code 183500000X

License

83130 Issued in CA

Practice address

2544 Campbell PL Ste 150
Carlsbad, CA 92009-1768

Phone

(800) 730-9887

NPI assigned

May 24, 2021

Last updated

May 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Coast Medical Supply, LLC

  dba Advanced Diabetes Supply

  • Mail Order Pharmacy
  • Carlsbad, CA
  • NPI 1245259282
  NPD
• North Coast Medical Supply, LLC

  dba Advanced Diabetes Supply

  • Durable Medical Equipment & Medical Supplies
  • Carlsbad, CA
  • NPI 1346913530
  NPD

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1942875703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4748 68TH ST APT A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 CAMPBELL PL STE 150",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920091768",
            "telephone_number": "800-730-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "CYNTHIA",
        "middle_name": "THAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "83130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Alexander Petrungaro
• Adrienne J Petty
• Alina F Petyn, P.T.
• Catherine Chau Pham, AU.D
• Chanh Minh Pham, PHARMD
• Dorrance Pham, PHARMD
• Michael Trung Pham, DO
• Tram Pham, BCBA
• Kimberly Phan
• Minh Ngoc Phan, DMD

• Pharmacist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.