KEVIN PHAM (NPI# 1295055747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295055747 |
| Entity Type | Individual |
| Full Name | KEVIN PHAM |
| Credential | PHARMACIST |
| Practice Address |
153 E Gladstone St Azusa CA 91702-4926 |
| Practice Telephone | 6263343511 |
| Practice Fax Number | 6268127845 |
| Mailing Telephone | 6263343511 |
| Mailing Fax Number | 6268127845 |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2010-06-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 49347 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356904742 | Kevin Q Pham | Pharmacist | 13191 Hilton Ln, Garden Grove, CA 92843-2222 | 2019-04-21 |
| 1619472701 | Kevin Van Pham | Optometrist | 2110 Deerwood Ct, Pearland, TX 77581-2284 | 2018-03-29 |
| 1487963773 | Kevin Hoang Pham | Pharmacist | 14047 W Windsor Ave, Goodyear, AZ 85395-2485 | 2010-10-04 |
| 1003900705 | Kevin Thang Pham I | Dentist | 7746 Lorraine Ave Ste 204, Stockton, CA 95210-4234 | 2006-10-03 |
| 1306456702 | Kevin Minh-huy Pham | Dentist | 344 Nw Loop 564 Ste 400, Mineola, TX 75773-1128 | 2020-07-31 |
| 1811524911 | Kevin Minh Pham | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2020-03-26 |
| 1629531868 | Kevin Pham | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2019-04-12 |
| 1770043481 | Kevin Pham | Behavior Technician | 5762 Bolsa Ave Ste 100, Huntington Beach, CA 92649-1172 | 2019-03-20 |
| 1235697699 | Kevin Pham | Behavior Technician | 1101 S Winchester Blvd Ste N-260, San Jose, CA 95128-3901 | 2019-03-05 |
| 1083170476 | Kevin Pham | Behavior Technician | 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 | 2019-02-11 |
| Street Address |
153 E GLADSTONE ST |
| City | AZUSA |
| State | CA |
| Zip Code | 91702-4926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750601811 | I - Fon Chen | Pharmacist | 153 E Gladstone St, Azusa, CA 91702-4926 | 2010-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407345341 | Rosaura Contreras | Nutritionist | 109 West 6th Street, Azusa, CA 91702 | 2018-05-07 |
| 1093224396 | Beatriz Leyva Torres | Nurse Practitioner | 237 S. Vernon Ave, Azusa, CA 91702 | 2017-09-29 |
| 1871949370 | Angela Marie Mckindley | Case Manager/Care Coordinator | 23701 East Fork Rd., Azusa, CA 91702 | 2016-05-13 |
| 1023489846 | Crystal Horton | Case Manager/Care Coordinator | 23701 E Fork Road, Azusa, CA 91702 | 2015-10-20 |
| 1528438272 | Seann Mckay | Case Manager/Care Coordinator | 23701 E Folk Rd, Azusa, CA 91702 | 2015-10-06 |
| 1437528833 | William Clabaugh | Case Manager/Care Coordinator | 830 S. Azusa Ave., 45, Azusa, CA 91702 | 2015-09-16 |
| 1467850693 | Juana Gaeta | Speech-Language Pathologist | 1016 E Ghent St, Azusa, CA 91702 | 2014-12-22 |
| 1649674508 | Colleen Anne Montz | Nurse Practitioner | 901 E. Alosta Ave., Student Health Center, Azusa, CA 91702 | 2014-10-21 |
| 1285061390 | Patrick Ryan Bergeron | Physical Therapist | 900 W Sierra Madre Avenue, #33, Azusa, CA 91702 | 2013-10-03 |
| 1760768972 | Ashley L Wickliffe | Student in an Organized Health Care Education/Training Program | 901 East Alosta Avenue, Azusa, CA 91702 | 2011-11-01 |
| Find all providers in zip 91702 | ||||
| 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 |
|---|---|---|---|---|
| 1417510348 | Christian Roy Thompson | Pharmacist | 931 N Azalea Way, Azusa, CA 91702-1572 | 2019-04-16 |
| 1669874269 | Mutaz Ahmad | Pharmacist | 1225 N Holmar Ave, Azusa, CA 91702-2133 | 2014-09-25 |
| 1326127465 | Kakui Law | Pharmacist | 190 W 9th Street, Azusa, CA 91702 | 2006-11-02 |
| 1306956321 | Joung Sook Yang | Pharmacist | 507 N Azusa Ave, Azusa, CA 91702-2936 | 2006-08-30 |
| 1144851825 | Megan Hannah Eng | Pharmacist | 809 N Azusa Ave, Azusa, CA 91702-2510 | 2020-01-30 |
| 1760020192 | Loanne Thi | Pharmacist | 367 N Citrus Ave, Azusa, CA 91702-3909 | 2019-12-17 |
| 1508412735 | Shirley Yihsiu Tsai | Pharmacist | 931 N Azalea Way, Azusa, CA 91702-1572 | 2019-08-13 |
| 1538729223 | Lisa Phan | Pharmacist | 367 N Citrus Ave, Azusa, CA 91702-3909 | 2019-06-16 |
| 1376108449 | Suk King Tiang | Pharmacist | 915 E Arrow Hwy, Azusa, CA 91702-5800 | 2019-05-04 |
| 1386209419 | Amanda Najera | Pharmacist | 101 W Foothill Blvd, Azusa, CA 91702-2531 | 2019-05-03 |
| Find all providers in AZUSA | ||||
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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.