TRACY PHAM (NPI# 1649676461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649676461 |
| Entity Type | Individual |
| Full Name | TRACY PHAM |
| Other Name | TRACY PHI |
| Credential | PHARM D |
| Practice Address |
3030 Harbor Blvd Ste A Costa Mesa CA 92626-2564 |
| Practice Telephone | 7149796743 |
| Mailing Telephone | 7149796743 |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 64235 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164973822 | Tracy Pham | Pharmacist | 1750 Pacific Ave # A, Long Beach, CA 90813-1715 | 2016-10-18 |
| 1922608793 | Tracy Tram Pham | Pharmacist | 700 E Ennis Ave, Ennis, TX 75119-4209 | 2020-10-29 |
| 1104314392 | Tracy Pham | Pharmacist | 210 Mount Hermon Rd, Scotts Valley, CA 95066-4009 | 2018-04-24 |
| 1134649890 | Tracy Pham | Dentist | 4000 W Florida Ave, Hemet, CA 92545 | 2017-06-23 |
| 1437694627 | Tracy Pham | Registered Nurse | 9451 Indianapolis Ave, Huntington Beach, CA 92646-5955 | 2016-12-27 |
| 1760844047 | Tracy Do Thuc Pham | Student in an Organized Health Care Education/Training Program | 275 W Macarthur Blvd, Oakland, CA 94611-5641 | 2016-03-24 |
| 1760725873 | Tracy Hoa Pham | Occupational Therapist | 400 S 43rd St, Renton, WA 98055-5714 | 2013-03-27 |
| 1255625034 | Tracy T Pham | Pharmacist | 2270 N Bellflower Blvd, Long Beach, CA 90815-2017 | 2011-06-08 |
| 1538322367 | Tracy Pham | Pharmacist | 7300 N Fresno St, Fresno, CA 93720-2941 | 2008-07-02 |
| 1619166147 | Tracy L. Pham | Pediatrics | 275 W Macarthur, Oakland, CA 94611-5641 | 2007-10-22 |
| Street Address |
3030 HARBOR BLVD STE A |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-2564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528080314 | Garfield Beach Cvs LLC | Pharmacy | 3030 Harbor Blvd Ste A, Costa Mesa, CA 92626-2564 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| 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 |
|---|---|---|---|---|
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| 1376977421 | Deborah Ann Lew-kaya | Pharmacist | 1550 Superior Avenue, Share Ourselves, Costa Mesa, CA 92627 | 2013-08-26 |
| 1497097323 | Amy Kathleen Brown | Pharmacist | 1555 Mesa Verde E Dr Apt 58 I, Costa Mesa, CA 92626-2307 | 2013-03-18 |
| 1861761983 | Julie Kimchi Pham | Pharmacist | 2107 Valley Rd, Costa Mesa, CA 92627-3976 | 2011-12-19 |
| 1942578679 | Robert Oliva | Pharmacist | 2026 Lemnos Dr, Costa Mesa, CA 92626-3536 | 2011-12-08 |
| 1104103217 | Peter Han Mach | Pharmacist | 1324 Corte Maltera, Costa Mesa, CA 92626-1678 | 2011-11-03 |
| 1316266158 | Tammy T Tran | Pharmacist | 2300 Harbor Blvd, Suite G, Costa Mesa, CA 92626-6250 | 2010-05-18 |
| 1740508290 | Meraj S Ahmed | Pharmacist | 3029 Harbor Blvd, Costa Mesa, CA 92626-2504 | 2010-05-07 |
| 1396073680 | Leonie L Tan | Pharmacist | 3515 Harbor Blvd, Costa Mesa, CA 92626-1437 | 2009-11-24 |
| 1720314396 | Anne Bui Huynh | Pharmacist | 2300 Harbor Blvd Ste G, Costa Mesa, CA 92626-6200 | 2009-11-02 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
Please comment or provide details below to improve the information on TRACY PHAM.
| 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.