TRACEY PHAM (NPI# 1083214563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083214563 |
| Entity Type | Individual |
| Full Name | TRACEY PHAM |
| Practice Address |
9451 Fm 1960 Bypass Rd W Humble TX 77338-4035 |
| Mailing Address |
9426 Limestone Ranch Ln Richmond TX 77407-1763 |
| Practice Telephone | 2816336409 |
| Mailing Telephone | 2816336409 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 65590 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549007 | Tracey Trang Pham | Technician, Health Information | 233 S Quintana Dr, Anaheim, CA 92807-4029 | 2019-10-10 |
| 1972724789 | Tracey Diep Pham | Pharmacist | 51 West 3rd Street, Suite 501, Tempe, AZ 85281 | 2007-05-01 |
| Street Address |
9451 FM 1960 BYPASS RD W |
| City | HUMBLE |
| State | TX |
| Zip Code | 77338-4035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174540348 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 9451 Fm 1960 Bypass Rd W, Humble, TX 77338-4035 | 2006-07-16 |
| 1700436417 | Haseeb Ayube Bacchus | Optometrist | 9451 Fm 1960 Bypass Rd W, Humble, TX 77338-4035 | 2019-09-14 |
| 1962824045 | Arslan Tajammul | Optometrist | 9451 Fm 1960 Bypass Rd W, Humble, TX 77338-4035 | 2014-01-09 |
| 1255423802 | Wal-mart Stores Texas, Lp | Technician/Technologist | 9451 Fm 1960 Bypass Rd W, Humble, TX 77338-4035 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033690 | Daniel, Max & Marcandrea, LLC | Optometrist | 9475 Fm 1960, Humble, TX 77338 | 2020-11-03 |
| 1942818240 | Karla Marize Howard | Nurse Practitioner | 18980 W. Memorial Dr. Suite 100 Plaza 2, Humble, TX 77338 | 2020-07-22 |
| 1902437981 | Houston Mint Dentistry, Pllc | Dentist | 9509 Fm 1960 Ste 200, Humble, TX 77338 | 2020-01-29 |
| 1053957514 | Sherrie Conn | Technician | 20430 Moon Walk Dr, Humble, TX 77338 | 2019-11-20 |
| 1235772450 | Madeline Rigler | Dietitian, Registered | 18980 N Memorial Dr Ste 100, Humble, TX 77338 | 2019-10-21 |
| 1982254025 | Daira Lynn Springer | Registered Nurse | 18980 W Memorial Dr., Suite 100, Humble, TX 77338 | 2019-09-19 |
| 1306494687 | Strategic Development & Instruction | Counselor | 9802 Farm To Market 1960 Bypass, Humble, TX 77338 | 2019-08-29 |
| 1124689732 | Caroline Elizabeth Le | Dentist | 9490 Farm To Market 1960 Bypass Rd W, Suite 700, Humble, TX 77338 | 2019-06-25 |
| 1699246181 | Deerbrook Asc LLC | Clinic/Center | 18450 Hwy 59 Suite 101-b, Humble, TX 77338 | 2018-12-10 |
| 1760950141 | Mckay Health Care LLC | Skilled Nursing Facility | 19279 Mckay Dr., Humble, TX 77338 | 2018-11-05 |
| Find all providers in zip 77338 | ||||
| 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 |
|---|---|---|---|---|
| 1972095453 | Sarah Elizabeth Barr | Pharmacist | 1712 1st St E Ste M20, Humble, TX 77338-5238 | 2018-05-31 |
| 1487014676 | Rachel Sevier | Pharmacist | 7821 Fm 1960 Rd E, Humble, TX 77346-2205 | 2016-03-01 |
| 1255798690 | Vasilika Shmidt | Pharmacist | 8505 Fm 1960 Rd. West, Humble, TX 77338 | 2016-01-15 |
| 1346637766 | Stacey Rae Ellison | Pharmacist | 18215 Yukon Ridge Trl, Humble, TX 77346-4091 | 2015-04-23 |
| 1891116224 | Jerrod Williams | Pharmacist | 10373 N Sam Houston Pkwy E Apt 925, Humble, TX 77396-4453 | 2014-01-03 |
| 1720421456 | Lashunda Lee | Pharmacist | 4607 Aspen Leaf Ln, Humble, TX 77396-6113 | 2013-04-11 |
| 1497002034 | Curtis Harold Traylor | Pharmacist | 8901 Fm 1960 Bypass West, #102, Humble, TX 77338 | 2012-08-14 |
| 1851666713 | Ryan Keenan Roux | Pharmacist | 14027 Alex Landing Dr, Humble, TX 77396-4345 | 2012-03-12 |
| 1649554825 | Chi L Nguyen | Pharmacist | 8901 Fm 1960 Bypass Rd W Ste 102, Humble, TX 77338-4019 | 2011-10-05 |
| 1497067805 | Paula Lorraine Henzl | Pharmacist | 7400 Fm 1960 E, Humble, TX 77345 | 2010-07-14 |
| Find all providers in HUMBLE | ||||
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| 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.