NGOC MAI PHAM (NPI# 1750980090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750980090 |
Entity Type | Individual |
Full Name | NGOC MAI PHAM |
Other Name | NGOC MAI PHAM |
Practice Address |
2200 Fm 663 Midlothian TX 76065-5600 |
Mailing Address |
1304 Pierron Dr Arlington TX 76002-3653 |
Practice Telephone | 4693362041 |
Mailing Telephone | 8175830726 |
Enumeration Date | 2020-10-19 |
Last Update Date | 2020-10-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
59170 | TX | Pharmacy Service Providers |
Street Address |
2200 FM 663 |
City | MIDLOTHIAN |
State | TX |
Zip Code | 76065-5600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730601782 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 2200 Fm 663, Midlothian, TX 76065-5600 | 2017-07-12 |
1205460391 | Micah James Mccuistion | Pharmacist | 2200 Fm 663, Midlothian, TX 76065-5600 | 2020-02-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487271375 | Methodist Hospitals of Dallas | General Acute Care Hospital | 1201 E Us Hwy 287, Midlothian, TX 76065 | 2020-06-26 |
1568085033 | Kyle Jason Mitchell | Social Worker | 4025 E Us 287, Midlothian, TX 76065 | 2020-05-19 |
1912549833 | Prestige Dermatology of Midlothian | Dermatology | 320 Hawkins Run Rd., Suite 1, Midlothian, TX 76065 | 2019-10-11 |
1669939336 | John Morgan Buie | Dentist | 2410 Fm 663, Suite 200, Midlothian, TX 76065 | 2019-02-28 |
1891264685 | Aaric Shammah Services LLC | Community/Behavioral Health | 6610 Dempsey Ln, Midlothian, TX 76065 | 2018-11-21 |
1952883399 | Tabitha Jayne Schwark | Occupational Therapy Assistant | 938 Mill Pond Dr., Midlothian, TX 76065 | 2018-09-01 |
1306348867 | Linda Susan Rose | Licensed Vocational Nurse | 4081 Walnut Ln, Midlothian, TX 76065 | 2018-03-01 |
1922524362 | Jacqueline C. Avalos | Counselor | 5431 Montgomery Rd., Midlothian, TX 76065 | 2017-08-17 |
1215322169 | Midtown 2013 Re, LLC | Assisted Living Facility | 910 S. 9th Street, Midlothian, TX 76065 | 2015-03-30 |
1902218852 | Katherine Pederson | Family Medicine | 2230 Bryan Pl Ste 200, Midlothian, TX 76065 | 2014-05-27 |
Find all providers in zip 76065 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205460391 | Micah James Mccuistion | Pharmacist | 2200 Fm 663, Midlothian, TX 76065-5600 | 2020-02-27 |
1295134872 | Deborah K Brokaw | Pharmacist | 14366 Sommerville Ct, Midlothian, VA 23113-6838 | 2014-08-19 |
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 |
City | MIDLOTHIAN |
Zip Code | 76065 |
Please comment or provide details below to improve the information on NGOC MAI 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.