BRIAN DINH PHAM (NPI# 1003190976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003190976 |
| Entity Type | Individual |
| Full Name | BRIAN DINH PHAM |
| Credential | RPH |
| Practice Address |
5296 Jimmy Carter Blvd Norcross GA 30093-1603 |
| Practice Telephone | 7707989355 |
| Practice Fax Number | 7707989975 |
| Mailing Telephone | 7707989355 |
| Mailing Fax Number | 7707989975 |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2011-10-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH022479 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881665743 | Brian Pham | Optometrist | 619 Pine Ave, Long Beach, CA 90802-1331 | 2006-01-30 |
| 1417580515 | Brian Pham | Technician, Other | 2400 E Katella Ave Ste 800, Anaheim, CA 92806-5955 | 2020-02-17 |
| 1669035374 | Brian Pham | Occupational Therapist | 14966 Terreno De Flores Ln, Los Gatos, CA 95032-2023 | 2019-04-18 |
| 1225533185 | Brian Pham | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2018-03-23 |
| 1811377963 | Brian Pham | Internal Medicine | 4501 X St, Sacramento, CA 95817-2229 | 2015-06-04 |
| 1487051801 | Brian Pham | Pharmacist | 6285 Commerce Blvd, Rohnert Park, CA 94928-6301 | 2014-12-01 |
| 1386871051 | Brian Pham | Psychiatry & Neurology | 325 W Gowe St, Kent, WA 98032-5892 | 2009-06-19 |
| Street Address |
5296 JIMMY CARTER BLVD |
| City | NORCROSS |
| State | GA |
| Zip Code | 30093-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144235250 | Walgreen Co | Pharmacy | 5296 Jimmy Carter Blvd, Norcross, GA 30093-1603 | 2006-07-29 |
| 1366725921 | Hong Ngoc Chau To | Pharmacist | 5296 Jimmy Carter Blvd, Norcross, GA 30093-1603 | 2011-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1922643485 | Anthony Ervin | Case Manager/Care Coordinator | 6251 Smithpoint Dr. Bldg B, Peachtree Corners, GA 30093 | 2019-11-08 |
| 1164908885 | Marianne Altares | Speech-Language Pathologist | 1709 Oakbrook Lake Dr, Norcross, GA 30093 | 2018-07-16 |
| 1518480763 | Braces Now 14, LLC | Dentist | 4141 Steve Reynolds Blvd, Suite 2, Norcross, GA 30093 | 2017-07-19 |
| 1457802902 | Audrey Fernandes | Dentist | 4846 Jimmy Carter Blvd, Suite 203, Norcross, GA 30093 | 2016-10-19 |
| 1922456318 | Diana Lleras | Counselor | 6020 Dawson Bld Suite I, Norcross, GA 30093 | 2016-05-26 |
| 1376941500 | Katerine Velez | Counselor | 6020 Dawson Blvd., Siute I, Norcross, GA 30093 | 2014-12-22 |
| 1679979017 | Allison Ballay Donnelly | Speech-Language Pathologist | 1626 Jeurgens Ct., Norcross, GA 30093 | 2014-11-12 |
| 1588913701 | Sunrise Pharmacy | Pharmacy | 1235 Indian Trail Rd, Suite 200a, Norcross, GA 30093 | 2012-09-04 |
| 1821347154 | Shakirah Forde | Counselor | 1770 Indian Trail Lilburn Rd Ste 120, Norcross, GA 30093 | 2012-08-31 |
| Find all providers in zip 30093 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508419003 | Darby Jeter Coxhead | Pharmacist | 5598 Guyton Ct, Norcross, GA 30092-2032 | 2019-07-23 |
| 1568933141 | Kenneth Smith | Pharmacist | 4393 Fielding Ln, Norcross, GA 30092-1647 | 2018-12-08 |
| 1710361886 | Nancy Hollash Jara | Pharmacist | 6197 Spalding Dr, Norcross, GA 30092-1802 | 2015-07-17 |
| 1922383256 | Laurie King | Pharmacist | 4284 Patrick Trce, Norcross, GA 30092-1513 | 2011-10-18 |
| 1700169174 | Janice M Davis | Pharmacist | 4330 Doerun Ct, Norcross, GA 30092-1657 | 2011-09-22 |
| 1841528734 | Deroyce D Simmons | Pharmacist | 6103 Queen Anne Ct, Norcross, GA 30093-3746 | 2009-12-03 |
| 1336373471 | Tutugn T Abdulwahab | Pharmacist | 5992 Brookside Oak Cir, Norcross, GA 30093-1752 | 2009-05-04 |
| 1154573517 | Elizabeth C Dunn | Pharmacist | 5505 Buford Hwy, Norcross, GA 30071-3901 | 2008-10-16 |
| 1609045061 | Nancy Scarbrough | Pharmacist | 6050 Peachtree Pkwy, Norcross, GA 30092-3336 | 2008-02-29 |
| 1578694493 | Brad Michael Cherson | Pharmacist | 5731 Berryton Ct, Norcross, GA 30092-2050 | 2007-03-09 |
| Find all providers in NORCROSS | ||||
Please comment or provide details below to improve the information on BRIAN DINH PHAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.