JONATHAN PHAM (NPI# 1265031041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265031041 |
Entity Type | Individual |
Full Name | JONATHAN PHAM |
Credential | PHARMD |
Practice Address |
2303 Boonville Rd Bryan TX 77808-2232 |
Practice Telephone | 9797748377 |
Practice Fax Number | 9797748362 |
Mailing Telephone | 9797748377 |
Mailing Fax Number | 9797748362 |
Enumeration Date | 2020-10-22 |
Last Update Date | 2020-10-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
57768 | TX | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295393411 | Jonathan Anhduy Pham | Optometrist | 6851 Matlock Rd Ste 111, Arlington, TX 76002-3519 | 2019-06-03 |
1356855662 | Jonathan Phong Pham | Pharmacist | 10404 27th Dr Se, Everett, WA 98208-4465 | 2017-11-22 |
1548825284 | Jonathan Theodore Pham | Student in an Organized Health Care Education/Training Program | 11234 Anderson Street, Gme Office Westerly Suite 'c', Loma Linda, CA 92354-2804 | 2019-05-08 |
1699236299 | Jonathan Cuong Pham | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Fort Worth, TX 76104-4917 | 2019-03-27 |
1750811659 | Jonathan Pham | Internal Medicine | 30 N 1900 E Rm 4b319, Salt Lake City, UT 84132-0002 | 2017-06-14 |
1285021139 | Jonathan Minh Pham | Internal Medicine | 2823 Fresno St, Fresno, CA 93721-1324 | 2015-04-17 |
Street Address |
2303 BOONVILLE RD |
City | BRYAN |
State | TX |
Zip Code | 77808-2232 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821161357 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 2303 Boonville Rd, Bryan, TX 77808-2232 | 2006-11-15 |
1972910495 | Rachel Rochelli | Pharmacist | 2303 Boonville Rd, Bryan, TX 77808-2232 | 2014-07-16 |
1043548803 | Robert Eugene Niemann | Pharmacist | 2303 Boonville Rd, Bryan, TX 77808-2232 | 2009-12-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528625605 | Erin Anne Reynoso | Midwife | 10387 Taylor Rd, Bryan, TX 77808 | 2019-05-23 |
1811015878 | Charity A Karpac | Internal Medicine | 2410 Boonville Road, Bryan, TX 77808 | 2007-03-27 |
1760585194 | Aaron Keith Buzzard | Emergency Medicine | 10485 S Fm 2038, Bryan, TX 77808 | 2006-09-07 |
1053834135 | Bv Emergency Physicians, Pllc | Clinic/Center | 2411 Boonville Rd, Bryan, TX 77808 | 2017-07-20 |
1326686114 | Reed Kristynik | Contractor | 2502 Clarks Ln Ste 100, Bryan, TX 77808-1333 | 2019-12-12 |
1033634423 | Julie Ann Stark | Registered Nurse | 3510 Wakefield Dr, Bryan, TX 77808-1430 | 2017-08-07 |
1093958233 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2350 Boonville Rd, Bryan, TX 77808-2225 | 2009-04-17 |
1700114568 | Thomas Micheal Hohensee | Pharmacist | 2350 Boonville Rd, Bryan, TX 77808-2225 | 2009-12-05 |
1265760292 | Carole L Copeland | Pharmacist | 2350 Boonville Rd, Bryan, TX 77808-2225 | 2009-12-02 |
1164634606 | Sybil Jane Taquet | Family Medicine | 2410 Boonville Rd, Bryan, TX 77808-2226 | 2007-05-04 |
Find all providers in zip 77808 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861755753 | Samrah Mobeen | Pharmacist | 3131 University Dr E, Bryan, TX 77802-3473 | 2012-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801497813 | Cindy Layton Potter | Pharmacist | 400 Myrtle St, Nacogdoches, TX 75965-2652 | 2020-11-05 |
1306446398 | Claud Cameron | Pharmacist | 23552 Nameless Rd, Leander, TX 78641-9022 | 2020-10-28 |
1306445234 | Chloe Lee | Pharmacist | 4620 Sh 121, Lewisville, TX 75056-4530 | 2020-10-21 |
1205435195 | Scott Sadlowski | Pharmacist | 12605 I-45 N, Willis, TX 77318 | 2020-10-21 |
1891394102 | Shaunda Lynn Jackson | Pharmacist | 19250 W Lake Houston Pkwy, Humble, TX 77346-2279 | 2020-10-19 |
1841898251 | Pablo Reyna Castro | Pharmacist | 3100 S Gordon St, Alvin, TX 77511-4790 | 2020-10-16 |
1659979078 | Tina Teresa Cherian | Pharmacist | 341 S Loop 336 W, Conroe, TX 77304-3309 | 2020-10-16 |
1316545742 | Travis Jones | Pharmacist | 6767 Spencer Highway, Pasadena, TX 77505 | 2020-10-16 |
1396350666 | Patient Care Services Pharmacy Consulting, LLC | Pharmacist | 2000 N Central Expy Ste 214, Plano, TX 75074-5487 | 2020-09-13 |
1942813209 | Mountaineer Consultants LLC | Pharmacist | 933 Pellegrino Ave, El Paso, TX 79932-2063 | 2020-08-26 |
Find all providers with the same taxonomy |
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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.