JONATHAN PHAM


Address: 2303 Boonville Rd, Bryan, TX 77808-2232
Phone: 9797748377

JONATHAN PHAM (NPI# 1265031041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Providers JONATHAN PHAM

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

Office Location

Street Address 2303 BOONVILLE RD
City BRYAN
State TX
Zip Code 77808-2232

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861755753 Samrah Mobeen Pharmacist 3131 University Dr E, Bryan, TX 77802-3473 2012-06-17

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City BRYAN
Zip Code 77808

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Dataset Information

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.

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