Active NPI
Diana Pham
- Pharmacist
- Tucson, AZ
National Provider Identifier
1962112466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S026117
- Practice address
- 3901 W Costco Dr
Tucson, AZ 85741-2864 - Phone
- (520) 797-8190
- NPI assigned
- Nov 25, 2022
- 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 | S026117 | AZ | Primary |
Addresses
Primary practice location
3901 W Costco Dr
Tucson, AZ 85741-2864
Mailing address
866 W Clear River St
Tucson, AZ 85704-2452
Other practice location 1
595 S Galleria Way
Chandler, AZ 85226-4932
Phone (480) 375-2078
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 |
|---|---|---|---|
| S026117 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669334400000",
"number": "1962112466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "866 W CLEAR RIVER ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857042452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 W COSTCO DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857412864",
"telephone_number": "520-797-8190"
}
],
"practiceLocations": [
{
"address_1": "595 S Galleria Way",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852264932",
"country_code": "US",
"telephone_number": "480-375-2078",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAM",
"first_name": "DIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-25",
"last_updated": "2022-11-25",
"certification_date": "2022-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S026117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.