NATHAN PHAM (NPI# 1114245339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114245339 |
| Entity Type | Individual |
| Full Name | NATHAN PHAM |
| Credential | M.D |
| Practice Address |
4511 Briar Frst San Antonio TX 78217-1415 |
| Practice Telephone | 3054964409 |
| Mailing Telephone | 3054964409 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2020-09-04 |
| NPI Deactivation Date | 03/12/2014 |
| NPI Reactivation Date | 2020-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS58864 | FL | Pharmacy Service Providers |
| N | 207Q00000X | Family Medicine | BP10037842 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720582539 | Nathan Hubert Pham | Internal Medicine | 725 Albany Street, Shapiro 5&6, Boston, MA 02118-2307 | 2018-03-19 |
| Street Address |
4511 BRIAR FRST |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78217-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390278 | Nadia Sanchez De Ramos | Counselor | 10615 Perrin Veitle, Ste. 402, San Antonio, TX 78217 | 2020-06-10 |
| 1104455518 | Lamonica Shantae Armond | Counselor | 4035 Narco Perrin Blvd Ste 2030, San Antonio, TX 78217 | 2020-04-07 |
| 1487282414 | Debra Pitts | Counselor | 10605 Perrin Beitel Rd, Suite 801, San Antonio, TX 78217 | 2020-03-27 |
| 1083241129 | Jena Lalley | Nurse Practitioner | 8723 Botts Lane, San Antonio, TX 78217 | 2020-03-26 |
| 1699307173 | Kingdom Outreach Center of San Antonio, Tx | Counselor | Kingdom Out Reach Center of San Antonio, 3819 Naco Perrin Blvd #118, San Antonio, TX 78217 | 2020-02-12 |
| 1881224277 | Tinyada Robinson | Recreation Therapist | 1777 Ne Interstate 410 Loop, Ste 1009, San Antonio, TX 78217 | 2020-01-24 |
| 1255996815 | Chelsey Lynn Guy | Dental Hygienist | 10231 Kotzebue St., San Antonio, TX 78217 | 2019-05-08 |
| 1972069144 | Emma Getic | Behavioral Analyst | 2391 Ne Interstate 410 Loop, Suite #304, San Antonio, TX 78217 | 2019-02-13 |
| 1487133781 | Rebecca Rendon | Registered Nurse | 8610 N. New Braunfels Ave, Ste. 405, San Antonio, TX 78217 | 2018-08-08 |
| 1326526922 | Charlene Michelle Turner | Registered Nurse | 8620 N New Braunfels Ave, #700, San Antonio, TX 78217 | 2018-08-06 |
| Find all providers in zip 78217 | ||||
| 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 |
|---|---|---|---|---|
| 1003416413 | Hieu Voqui | Pharmacist | 24403 Ih 10 W, San Antonio, TX 78257-1447 | 2020-10-27 |
| 1104424704 | Joseph Samaan | Pharmacist | 602 Artisan Way, San Antonio, TX 78260-4375 | 2020-10-15 |
| 1265046874 | Raymond Gilbert Mattes Jr. | Pharmacist | 911 Cougar Country, San Antonio, TX 78251-4049 | 2020-09-01 |
| 1679186977 | Tierra Wyatt-young | Pharmacist | 4703 W Commerce St # At, San Antonio, TX 78237-1502 | 2020-08-26 |
| 1689286353 | Karla Bianca Garza | Pharmacist | 6704 Biscay Bay, San Antonio, TX 78249-2573 | 2020-08-23 |
| 1962014076 | Joseph Zavala | Pharmacist | 103 Sw Military Dr, San Antonio, TX 78221-1650 | 2020-08-19 |
| 1366054413 | Lauren Preston | Pharmacist | 3502 Se Military Dr, San Antonio, TX 78223-3486 | 2020-08-19 |
| 1154930568 | James Cory Vasquez | Pharmacist | 9900 Wurzbach Road, San Antonio, TX 78230 | 2020-07-31 |
| 1902414741 | Simplicio Aldover | Pharmacist | 901 Bitters Rd, San Antonio, TX 78216-2347 | 2020-07-17 |
| 1487279691 | Chukwuemeka Ogbu | Pharmacist | 21920 Bulverde Rd # 102-103, San Antonio, TX 78259-2181 | 2020-06-12 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78217 |
Please comment or provide details below to improve the information on NATHAN 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.