Active NPI
Tracey Diep Pham, PHARMD
- Pharmacist
- Tempe, AZ
National Provider Identifier
1972724789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14585
- Practice address
- 51 West 3Rd Street
Suite 501
Tempe, AZ 85281 - Phone
- (480) 317-6780
- NPI assigned
- May 1, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14585 | AZ | Primary |
| Pharmacist | 183500000X | PH-1749 | HI | |
| Pharmacist | 183500000X | RPH-48404 | CA | |
| Pharmacist | 183500000X | 12451 | NV |
Addresses
Primary practice location
51 West 3Rd Street
Suite 501
Tempe, AZ 85281
Mailing address
2524 W. Minton Street
Phoenix, AZ 85041
Phone (702) 612-3949
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 |
|---|---|---|---|
| 14585 | AZ | MD | Pharmacist |
| RPH-48404 | CA | MD | Pharmacist |
| PH-1749 | HI | MD | Pharmacist |
| 12451 | NV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972724789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2524 W. MINTON STREET",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85041",
"telephone_number": "702-612-3949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 WEST 3RD STREET",
"address_2": "SUITE 501",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85281",
"telephone_number": "480-317-6780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "TRACEY",
"middle_name": "DIEP",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "14585",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH-1749",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH-48404",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "12451",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.