Active NPI
Mien Hac Pham, PHARM.D.
- Pharmacist
- Charlotte, NC
National Provider Identifier
1962738120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17008
- Practice address
- 6848 Albemarle Rd
Charlotte, NC 28212-3854 - Phone
- (704) 535-8019
- NPI assigned
- Oct 22, 2009
- Last updated
- Feb 18, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17008 | NC | Primary |
Addresses
Primary practice location
6848 Albemarle Rd
Charlotte, NC 28212-3854
Mailing address
1220 Matthews Township Pkwy
Matthews, NC 28105-0218
Phone (704) 814-9487
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17008 | NC | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266451200000",
"number": "1962738120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 MATTHEWS TOWNSHIP PKWY",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281050218",
"telephone_number": "704-814-9487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6848 ALBEMARLE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282123854",
"telephone_number": "704-535-8019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "MIEN",
"middle_name": "HAC",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-22",
"last_updated": "2010-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "17008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.