TRACY PHAM (NPI# 1164973822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164973822 |
| Entity Type | Individual |
| Full Name | TRACY PHAM |
| Credential | PHARM.D. |
| Practice Address |
1750 Pacific Ave # A Long Beach CA 90813-1715 |
| Mailing Address |
7302 Rockmont Ave Westminster CA 92683-6125 |
| Practice Telephone | 5625995292 |
| Practice Fax Number | 5625991893 |
| Mailing Telephone | 7145488551 |
| Mailing Fax Number | 5625995292 |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
59107 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608793 | Tracy Tram Pham | Pharmacist | 700 E Ennis Ave, Ennis, TX 75119-4209 | 2020-10-29 |
| 1104314392 | Tracy Pham | Pharmacist | 210 Mount Hermon Rd, Scotts Valley, CA 95066-4009 | 2018-04-24 |
| 1134649890 | Tracy Pham | Dentist | 4000 W Florida Ave, Hemet, CA 92545 | 2017-06-23 |
| 1437694627 | Tracy Pham | Registered Nurse | 9451 Indianapolis Ave, Huntington Beach, CA 92646-5955 | 2016-12-27 |
| 1760844047 | Tracy Do Thuc Pham | Student in an Organized Health Care Education/Training Program | 275 W Macarthur Blvd, Oakland, CA 94611-5641 | 2016-03-24 |
| 1649676461 | Tracy Pham | Pharmacist | 3030 Harbor Blvd Ste A, Costa Mesa, CA 92626-2564 | 2014-11-05 |
| 1760725873 | Tracy Hoa Pham | Occupational Therapist | 400 S 43rd St, Renton, WA 98055-5714 | 2013-03-27 |
| 1255625034 | Tracy T Pham | Pharmacist | 2270 N Bellflower Blvd, Long Beach, CA 90815-2017 | 2011-06-08 |
| 1538322367 | Tracy Pham | Pharmacist | 7300 N Fresno St, Fresno, CA 93720-2941 | 2008-07-02 |
| 1619166147 | Tracy L. Pham | Pediatrics | 275 W Macarthur, Oakland, CA 94611-5641 | 2007-10-22 |
| Street Address |
1750 PACIFIC AVE # A |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
| 1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
| 1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
| 1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
| 1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
| 1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
| Find all providers in zip 90813 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558724302 | Jesse Wityczak | Pharmacist | 101 Bolstad Ave E, Long Beach, WA 98631 | 2016-03-30 |
| 1508429150 | Kelly Tran | Pharmacist | 3575 Atlantic Ave, Long Beach, CA 90807-4515 | 2019-04-18 |
| 1023508330 | Laura Sezonov | Pharmacist | 2699 Atlantic Ave, Long Beach, CA 90806-2710 | 2018-05-11 |
| 1275086860 | Larry Lovett | Pharmacist | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2016-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619580909 | Maureen Elizabeth Shelley | Pharmacist | 1212 Pico St Rm 141, San Fernando, CA 91340-3503 | 2020-08-26 |
| 1295351419 | Alice Khalil | Pharmacist | 7555 Van Nuys Blvd # 1071, Van Nuys, CA 91405-1949 | 2020-06-23 |
| 1235752304 | Hang-thu Thi Nguyen | Pharmacist | 4131 Geary Blvd Ste B10, San Francisco, CA 94118-3101 | 2020-05-24 |
| 1861013609 | Karine Wong | Pharmacist | 8264 Noelle Dr, Huntington Beach, CA 92646-6928 | 2020-05-04 |
| 1023656683 | Kenny Tavoc | Pharmacist | 275 N El Cielo Rd Ste C325, Palm Springs, CA 92262-6972 | 2019-12-13 |
| 1124665294 | Paula Kyonghwa Kang | Pharmacist | 23444 Coyote Springs Dr, Diamond Bar, CA 91765-2652 | 2019-12-06 |
| 1194373985 | Louis Ho | Pharmacist | 1225 Wilshire Blvd Ste 201, Los Angeles, CA 90017-1901 | 2019-08-27 |
| 1669026076 | Alan Nguyen | Pharmacist | 1190 Veterans, Cypress Building, Medical Station E, Redwood City, CA 94603-9460 | 2019-07-25 |
| 1174175871 | Patrick Febre | Pharmacist | 3651 Business Dr Ste 100, Sacramento, CA 95820-2176 | 2019-07-12 |
| 1659835866 | Patti Chung | Pharmacist | 200 Medical Plaza Ste 426, Los Angeles, CA 90095-0001 | 2019-01-23 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90813 |
Please comment or provide details below to improve the information on TRACY 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.