KEVIN HOANG PHAM (NPI# 1487963773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487963773 |
| Entity Type | Individual |
| Full Name | KEVIN HOANG PHAM |
| Credential | PHARMACIST |
| Practice Address |
14047 W Windsor Ave Goodyear AZ 85395-2485 |
| Mailing Address |
14047 W Windsor Ave Goodyear AZ 85395 |
| Practice Telephone | 6236806306 |
| Mailing Telephone | 6236806306 |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S012967 | AZ | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | PHARMACY LICENSE | S012967 | 01 |
| 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 |
| 1295055747 | Kevin Pham | Pharmacist | 153 E Gladstone St, Azusa, CA 91702-4926 | 2010-06-08 |
| 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 |
14047 W WINDSOR AVE |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85395-2485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962439 | Amber Dawn Gutierrez | Registered Nurse | 15430 W. Turney Avenue, Goodyear, AZ 85395 | 2019-10-08 |
| 1851947865 | Az Care Partners Home Care, LLC | Chore Provider | 14122 W. Mcdowell Rd., Suite 102a, Goodyear, AZ 85395 | 2019-08-15 |
| 1407334329 | Hana M Eichele | Occupational Therapist | 13385 W Mcdowell Road, Goodyear, AZ 85395 | 2018-08-02 |
| 1639662406 | Kristen Henderson | Occupational Therapist | 14577 W Indian School Road, Goodyear, AZ 85395 | 2018-06-07 |
| 1114419389 | Eric Seabaugh | Specialist/Technologist | 13385 W. Mcdowell Rd., Goodyear, AZ 85395 | 2018-06-04 |
| 1912497504 | Goodyear Modern Dentistry, LLP | Dentist | 15260 West Mcdowell Rd, Goodyear, AZ 85395 | 2018-05-18 |
| 1225531551 | Erik Jason Martinez | Registered Nurse | 4565 N 153rd Ln, Goodyear, AZ 85395 | 2018-03-13 |
| 1538677042 | Kacie Bartlett | Speech-Language Pathologist | 14557 W Mcdowel Rd, Suiet 500, Goodyear, AZ 85395 | 2018-01-18 |
| 1942717277 | Deeann Guymon | Specialist/Technologist | 13385 W. Mcdowell Road, Goodyear, AZ 85395 | 2018-01-09 |
| 1023520228 | Kathy Lynn Gorchesky | Registered Nurse | 15430 West Turney Avenue, Goodyear, AZ 85395 | 2017-10-27 |
| Find all providers in zip 85395 | ||||
| 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 |
|---|---|---|---|---|
| 1083103154 | Cody Lee Hattenberger | Pharmacist | 15835 W Supai Dr, Goodyear, AZ 85338-3301 | 2018-05-04 |
| 1124561642 | Cynthia Vlosic | Pharmacist | 15428 W Verde Ln, Goodyear, AZ 85395-8630 | 2016-12-01 |
| 1588056972 | Amber Gleason | Pharmacist | 16380 W. Yuma Rd, Goodyear, AZ 85326 | 2015-02-23 |
| 1396158994 | Richard Glisson | Pharmacist | 2840 North Dysart Road, Goodyear, AZ 85335 | 2014-06-11 |
| 1598176299 | William Patrick Brophy | Pharmacist | 13352 W Alvarado Dr, Goodyear, AZ 85395-3126 | 2014-05-15 |
| 1427476282 | Timothy Schubel | Pharmacist | 4240 N 161st Ave, Goodyear, AZ 85395-6437 | 2014-03-30 |
| 1932409208 | Chung Counihan | Pharmacist | 9890 S Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| 1053611327 | Traven Anderson | Pharmacist | 9890 South Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| 1831499821 | Gary John Greco | Pharmacist | 16002 W Papago St, Goodyear, AZ 85338-7905 | 2010-10-25 |
| 1740880376 | Gina Danielle Horton | Pharmacist | 14175 W Indian School Rd, Goodyear, AZ 85395-8407 | 2020-11-01 |
| Find all providers in GOODYEAR | ||||
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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.