MICHELLE HIEN PHAM (NPI# 1912449406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912449406 |
| Entity Type | Individual |
| Full Name | MICHELLE HIEN PHAM |
| Credential | PHARM.D. |
| Practice Address |
855 Mankato Ave Inpatient Pharmacy Winona MN 55987-4868 |
| Mailing Address |
3055 Brittany Ln Nw Unit G Rochester MN 55901-7015 |
| Practice Telephone | 5074543650 |
| Mailing Telephone | 9784788109 |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
122580 | MN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441377 | Michelle Pham | Dentist | 245 Bloomfield Dr Ste 211, Lititz, PA 17543-7789 | 2020-06-12 |
| 1447659875 | Michelle Pham | Speech-Language Pathologist | 1050 Valewood Ct, Painesville, OH 44077-1153 | 2014-08-21 |
| 1700200326 | Michelle Minh Hien Pham | Pharmacist | 9577 Gardenia Ave, Fountain Valley, CA 92708-2312 | 2014-02-18 |
| 1144574419 | Michelle Tram Pham | Optometrist | 6887 Highway 6 N, Houston, TX 77084-2698 | 2012-11-07 |
| 1730467523 | Michelle Quynh Nhu Pham | Dentist | 12872 Kingsbridge Ln, Houston, TX 77077-2261 | 2011-07-27 |
| 1033720750 | Michelle Pham | Pharmacist | 5950 Broadway Blvd, Garland, TX 75043-5822 | 2020-08-14 |
| 1558860460 | Michelle Trang Pham | Pharmacist | 9650 Baseline Rd, Rancho Cucamonga, CA 91701-5035 | 2018-02-06 |
| 1538600432 | Michelle Bichdao Pham | Pharmacist | 1301 California St, Redlands, CA 92374-2910 | 2017-03-13 |
| 1366988560 | Michelle A Pham | Internal Medicine | 747 Broadway, Seattle, WA 98122 | 2017-01-11 |
| 1629421995 | Michelle Pham | Optometrist | 1170 N Estrella Pkwy, Suite A-105, Goodyear, AZ 85338-9275 | 2016-07-21 |
| Street Address |
855 MANKATO AVE INPATIENT PHARMACY |
| City | WINONA |
| State | MN |
| Zip Code | 55987-4868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952390338 | Robert W. Neilson | Internal Medicine | 855 Mankato Ave, Winona, MN 55987-4868 | 2005-10-18 |
| 1386281327 | Joshua John Dahl | Physical Medicine & Rehabilitation | 855 Mankato Ave, Winona, MN 55987-4868 | 2019-12-10 |
| 1174165146 | Courtney Mae Beyer | Nurse Practitioner | 855 Mankato Ave, Winona, MN 55987-4868 | 2019-10-11 |
| 1194367409 | Lynsey Laxton | Physician Assistant | 855 Mankato Ave, Winona, MN 55987-4868 | 2019-10-09 |
| 1811546740 | Mariah Sendelbach | Specialist/Technologist | 855 Mankato Ave, Winona, MN 55987-4868 | 2019-09-04 |
| 1720645492 | Garrett Fooshee | Physician Assistant | 855 Mankato Ave, Winona, MN 55987-4868 | 2019-05-28 |
| 1912560699 | Ayesha Lundi Carlson | Physician Assistant | 855 Mankato Ave, Winona, MN 55987-4868 | 2019-04-17 |
| 1023571270 | Mary Dorrie Vang | Nurse Practitioner | 855 Mankato Ave, Winona, MN 55987-4868 | 2019-04-12 |
| 1457818270 | Kristin Badenhorst | Physician Assistant | 855 Mankato Ave, Winona, MN 55987-4868 | 2019-02-28 |
| 1487118345 | Lisa Ann Mccabe-evans | Nurse Practitioner | 855 Mankato Ave, Winona, MN 55987-4868 | 2019-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891277232 | Jamie Sanders | Social Worker | 51 East 4th St Suite 307, Winona, MN 55987 | 2018-09-01 |
| 1841727823 | Stacey A Czaplewski | Specialist/Technologist | 175 West Mark Street, Winona State University-139 Memorial Hall, Winona, MN 55987 | 2017-05-22 |
| 1083145361 | Kevin Lee Knack | Counselor | 902 E. Second St. Suite 326, Acumen Counseling, Winona, MN 55987 | 2017-03-27 |
| 1467993865 | Melissa Lee Peterson | Specialist/Technologist | 23559 Co. Rd. 20, Winona, MN 55987 | 2017-03-17 |
| 1790226280 | Nikolas Porter Lyon | Specialist/Technologist | 634 Franklin St, East Lake B 306-4, Winona, MN 55987 | 2017-03-16 |
| 1821424953 | Sara Beth Borchardt | Chiropractor | 1423 West Service Drive, Winona, MN 55987 | 2013-09-20 |
| 1952614273 | Kristin Janelle Noble | Chiropractor | 117 W. 3rd St., Winona, MN 55987 | 2010-07-15 |
| 1033435615 | Christine E. Clark | Pharmacist | 1122 Hwy 61, Winona, MN 55987 | 2010-04-08 |
| 1346401544 | Andrew Dean Mork | Dentist | 50 W Second Street, Winona, MN 55987 | 2008-06-19 |
| 1508073693 | Lawrence J Green | Psychologist | 61 W 4th St, Winona, MN 55987 | 2007-05-17 |
| Find all providers in zip 55987 | ||||
| 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 |
|---|---|---|---|---|
| 1417587205 | Pain Partners LLC | Pharmacist | 15225 Wild Wings Court, Minnetonka, MN 55345 | 2020-01-21 |
| 1174160832 | Susan Jacobson | Pharmacist | One Veterans Drive (119), Minneapolis, MN 55417 | 2019-12-02 |
| 1942789912 | Savannah Danielle Miller | Pharmacist | 323 S Minnesota Street, Crookston, MN 56716 | 2018-08-10 |
| 1548751654 | Dustin Adam Kakach | Pharmacist | 600 County Hwy 10, Blaine, MN 55434 | 2018-05-24 |
| 1831642214 | Jennifer Franke | Pharmacist | 24760 Hospital Rd., Red Lake, MN 56671 | 2016-08-02 |
| 1922479062 | Shelby Setniker-eschiti | Pharmacist | 2172 German St, Maplewood, MN 55109-2853 | 2015-10-15 |
| 1336530310 | Audrey Jean Twit | Pharmacist | 523 North Third Street, Essentia Health St Joseph's Medical Center, Brainerd, MN 56401 | 2015-02-11 |
| 1215349584 | Stephen Destefano | Pharmacist | 31419 131st Street, Princeton, MN 55371 | 2014-05-21 |
| 1104259795 | Megan Nimke | Pharmacist | 345 Smith Ave North Pharmacy Department, Children's Hospital & Clinics of Minnesota Pharmacy Dep, St. Paul, MN 55102 | 2013-08-19 |
| 1790033363 | Mary Sauer | Pharmacist | 5615 Xerxes Ave N Ste D, Brooklyn Center, MN 55430-2819 | 2012-08-29 |
| Find all providers with the same taxonomy | ||||
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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.