Active NPI
Johnny Pham
- Pharmacist
- Ridgefield, WA
National Provider Identifier
1992673784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH70015273
- Practice address
- 519 N 56TH PL
Ridgefield, WA 98642-3500 - Phone
- (360) 727-8411
- NPI assigned
- Oct 24, 2025
- Sex
- Male
- 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 | PH70015273 | WA | Primary |
Addresses
Primary practice location
519 N 56TH PL
Ridgefield, WA 98642-3500
Mailing address
519 N 56TH PL
Ridgefield, WA 98642-3500
Phone (360) 727-8411
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 |
|---|---|---|---|
| PH70015273 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1992673784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 N 56TH PL",
"city": "RIDGEFIELD",
"state": "WA",
"postal_code": "986423500",
"telephone_number": "360-727-8411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 N 56TH PL",
"city": "RIDGEFIELD",
"state": "WA",
"postal_code": "986423500",
"telephone_number": "360-727-8411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "JOHNNY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-24",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH70015273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgefield, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.