KELLY KIM DUNG PHAM (NPI# 1508300799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508300799 |
| Entity Type | Individual |
| Full Name | KELLY KIM DUNG PHAM |
| Credential | PHARMD |
| Practice Address |
6620 Summertrail Pl Highland CA 92346-6063 |
| Practice Telephone | 9093620315 |
| Mailing Telephone | 9093620315 |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 75941 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497136535 | Kelly Pham | Optometrist | 10934 Pebble Run Dr, Silver Spring, MD 20902-3683 | 2015-06-15 |
| 1649730557 | Kelly Pham | Student in an Organized Health Care Education/Training Program | 701 W Pratt St Rm 474, Baltimore, MD 21201-1023 | 2019-03-25 |
| 1932696457 | Kelly Pham | Pharmacist | 3151 University Ave, San Diego, CA 92104-2039 | 2018-04-19 |
| 1841734126 | Kelly Pham | Dental Hygienist | 1211 Meridian Ave, San Jose, CA 95125-5210 | 2016-12-06 |
| 1295010072 | Kelly Pham | Pharmacist | 3099 Bethel Rd Se, Port Orchard, WA 98366-2432 | 2011-10-12 |
| 1114231669 | Kelly T Pham | Student in an Organized Health Care Education/Training Program | 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 | 2010-07-27 |
| 1417274689 | Kelly Loraine Dauer Pham | Physical Medicine & Rehabilitation | 4800 Sand Point Way Ne, Department of Pediatric Rehabilitation Medicine, Seattle, WA 98105-3901 | 2010-04-28 |
| 1588641948 | Kelly H Pham | Radiology | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2005-12-28 |
| Street Address |
6620 SUMMERTRAIL PL |
| City | HIGHLAND |
| State | CA |
| Zip Code | 92346-6063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101830 | First Choice Transport Services LLC | Non-emergency Medical Transport (VAN) | 7538 Bonita Dr, Highland, CA 92346 | 2020-10-13 |
| 1578031597 | Highland Optometrics | Optometrist | 7291 Boulder Avenue Suite #2d, Highland, CA 92346 | 2018-11-07 |
| 1972098218 | Hlh Wellness | Health Educator | 7758 Merlin Way, Highland, CA 92346 | 2018-06-28 |
| 1871088385 | Alexandria Ramirez | Behavioral Analyst | 7566 Rock Crest Lane, Highland, CA 92346 | 2018-06-27 |
| 1942708383 | Sarah Kristine Alcaide Young | Nurse Practitioner | 7223 Church St Ste C, Highland, CA 92346 | 2018-01-31 |
| 1861914251 | Brianna Rose Delpilar | Pharmacist | 2692 Highland Ave., Spc. 20, Highland, CA 92346 | 2017-07-07 |
| 1811440894 | Nancy Elizabeth Clark | Counselor | 29157 Stonegate Lane, Highland, CA 92346 | 2016-07-26 |
| 1952771529 | Michael Woosley | Physical Therapy Assistant | 29176 Whitegate Ln., Hihgland, CA 92346 | 2015-09-25 |
| 1326422940 | Lawryn Ask Monterroso | Dentist | 7216 Palm Avenue Suit B, Highland, CA 92346 | 2015-07-14 |
| 1073908315 | Empacare Homecare | Hospice, Inpatient | 7231 Boulder Ave., Ste 197, Highland, CA 92346 | 2015-04-03 |
| Find all providers in zip 92346 | ||||
| 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 |
|---|---|---|---|---|
| 1750981601 | Michelle Denise Schiefer | Pharmacist | 12495 Il Hwy 143, Highland, IL 62249 | 2020-10-29 |
| 1316553563 | Hannah Yu Chun | Pharmacist | 6805 Koandah Gdns, Highland, MD 20777-9784 | 2020-09-22 |
| 1396210290 | Jason Kiroyan | Pharmacist | 7223 Church St # 19, Highland, CA 92346-5869 | 2018-10-06 |
| 1104314749 | Viral Shah | Pharmacist | 4210 Highland Ave # K, Highland, CA 92346-2742 | 2018-04-30 |
| 1861914251 | Brianna Rose Delpilar | Pharmacist | 2692 Highland Ave., Spc. 20, Highland, CA 92346 | 2017-07-07 |
| 1477093805 | Tuan Huynh | Pharmacist | 7474 Red Clover Way, Highland, CA 92346-3870 | 2017-03-05 |
| 1508219619 | Bhumika Patel | Pharmacist | 27310 Baseline St, Highland, CA 92346-3252 | 2016-07-13 |
| 1033514294 | Lan Ngoc Huynh | Pharmacist | 7346 Cunningham St, Highland, CA 92346-5582 | 2014-10-30 |
| 1386058964 | Catherine Bodman | Pharmacist | 7379 Peach Blossom Ct, Highland, CA 92346-3868 | 2014-06-11 |
| 1043659329 | Quan Tran | Pharmacist | 7804 Calle Del Rio St, Highland, CA 92346-6335 | 2013-06-19 |
| Find all providers in HIGHLAND | ||||
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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.