Active NPI
Janet Pham, PHARMD
- Pharmacist
- Derby, KS
National Provider Identifier
1962989228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-106158
- Practice address
- 1624 N Rock Rd
Derby, KS 67037-3718 - Phone
- (316) 554-2121
- NPI assigned
- Jul 19, 2018
- 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 | 1-106158 | KS | Primary |
Addresses
Primary practice location
1624 N Rock Rd
Derby, KS 67037-3718
Mailing address
1624 N Rock Rd
Derby, KS 67037-3718
Phone (316) 554-2121
Other practice location 1
3200 Plaza East Dr
Hutchinson, KS 67502-1607
Phone (620) 663-7628
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 |
|---|---|---|---|
| 1-106158 | KS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531958400000",
"number": "1962989228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1624 N ROCK RD",
"city": "DERBY",
"state": "KS",
"postal_code": "670373718",
"telephone_number": "316-554-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1624 N ROCK RD",
"city": "DERBY",
"state": "KS",
"postal_code": "670373718",
"telephone_number": "316-554-2121"
}
],
"practiceLocations": [
{
"address_1": "3200 Plaza East Dr",
"address_purpose": "LOCATION",
"city": "Hutchinson",
"state": "KS",
"postal_code": "675021607",
"country_code": "US",
"telephone_number": "620-663-7628",
"fax_number": "620-665-2647",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAM",
"first_name": "JANET",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-19",
"last_updated": "2018-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-106158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Derby, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.