CHRISTINE PHAM (NPI# 1962002063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962002063 |
| Entity Type | Individual |
| Full Name | CHRISTINE PHAM |
| Practice Address |
30 Memorial Dr Avon MA 02322-1919 |
| Mailing Address |
80 Johnson Dr Randolph MA 02368-1819 |
| Practice Telephone | 5084274311 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH232585 | MA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423530 | Christine Pham | Occupational Therapist | 13697 Lowell St, Eastvale, CA 92880-3744 | 2019-11-27 |
| 1205282480 | Christine Pham | Technician, Cardiology | 11240 Fm 1960 West, St 406 - A, Houston, TX 77065 | 2016-05-06 |
| 1720402795 | Christine Pham | Podiatrist | 427 Broadway Ste 2, Monticello, NY 12701 | 2014-02-12 |
| 1053933812 | Christine Thanh-chau Pham | Internal Medicine | 301 University Blvd, Galveston, TX 77555-0570 | 2020-05-14 |
| 1699304964 | Christine Ge Pham | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Ste Msb 3151, Houston, TX 77030-1501 | 2020-04-07 |
| 1316500184 | Christine Pham | Student in an Organized Health Care Education/Training Program | 703 Main St, Paterson, NJ 07503-2621 | 2019-04-17 |
| 1871071761 | Christine Huong Thu Pham | Physician Assistant | 27512 Calle Arroyo Ste A, San Juan Capistrano, CA 92675-6783 | 2018-08-01 |
| 1396237525 | Christine Ngoc Pham | Pharmacist | 4224 E Shields Ave, Fresno, CA 93726 | 2018-06-04 |
| 1275062457 | Christine Pham | Pharmacist | 377 32nd Ave, San Francisco, CA 94121 | 2017-06-09 |
| 1356873897 | Christine Pham | Family Medicine | 10039 Vine St, Lakeside, CA 92040-3120 | 2017-04-03 |
| Street Address |
30 MEMORIAL DR |
| City | AVON |
| State | MA |
| Zip Code | 02322-1919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508321324 | Lindsay Wilson | Pharmacist | 30 Memorial Dr, Avon, MA 02322-1919 | 2019-02-06 |
| 1508938655 | Yin Yin Yuen | Optometrist | 30 Memorial Dr, Avon, MA 02322-1919 | 2006-11-14 |
| 1376623710 | Wal-mart Stores East, Lp | Technician/Technologist | 30 Memorial Dr, Avon, MA 02322-1919 | 2006-10-17 |
| 1467479758 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 30 Memorial Dr, Avon, MA 02322-1919 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942478284 | Wendy Champagnie Williams | Social Worker | 185 North Main Street, Avon, MA 02322 | 2008-02-20 |
| 1952521395 | Bruce Mitchell Doyle | Dentist | 255 West Main St, Avon, MA 02322 | 2007-04-26 |
| 1720112527 | Town of Avon | Local Education Agency (LEA) | 12 Patrick Clark Drive, Avon, MA 02322 | 2007-03-15 |
| 1033229653 | Costco Wholesale Corporation | Pharmacy | 120 Stockwell Dr, Avon, MA 02322 | 2006-08-30 |
| 1649319476 | Grow-associates, Inc. | Day Training, Developmentally Disabled Services | 101 Wales Ave, Avon, MA 02322-1006 | 2007-02-06 |
| 1659377802 | Premier Diagnostic Services, Inc. | Radiologic Technologist | 54 Bodwell St, Suite C, Avon, MA 02322-1111 | 2005-06-22 |
| 1134307408 | Premier Diagnostic Services Inc 2 | Technician, Cardiology | 54 Bodwell St, Rear, Avon, MA 02322-1111 | 2008-02-08 |
| 1891181897 | Costco Wholesale Corporation | Hearing Aid Equipment | 120 Stockwell Dr, Avon, MA 02322-1149 | 2015-04-07 |
| 1639563836 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 120 Stockwell Dr, Avon, MA 02322-1149 | 2015-03-25 |
| 1922345321 | Cathleen Ellen Brien | Pharmacist | 120 Stockwell Dr, Avon, MA 02322-1149 | 2013-01-07 |
| Find all providers in zip 02322 | ||||
| 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 |
|---|---|---|---|---|
| 1760007264 | Robin Schatz Johnson | Pharmacist | 4602 Parkstone Ln, Avon, IN 46123-7095 | 2020-06-10 |
| 1922628734 | Thomas Adam Gilmore | Pharmacist | 24 Terrace Dr, Avon, CT 06001-2314 | 2020-04-22 |
| 1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
| 1891358164 | Mary Elizabeth Harper | Pharmacist | 171 Yodder Ave, Avon, CO 81620 | 2019-04-22 |
| 1679036933 | Sean Thomas Veilleux | Pharmacist | 171 Yoder Ave, Avon, CO 81620 | 2019-04-12 |
| 1700394087 | Paul Joseph Griesacker | Pharmacist | 33564 Augusta Way, Avon, OH 44011-2782 | 2018-01-20 |
| 1669814976 | Praveen Kumar Dhulipalla | Pharmacist | 28 Buckingham Rd, Avon, CT 06001-5104 | 2013-07-28 |
| 1083057855 | William Huntley Klein | Pharmacist | 0072 Beaver Creek Pl, Avon, CO 81620-5140 | 2013-04-11 |
| 1053686295 | Gil Squiller | Pharmacist | 1240 Forest Commons Dr, Avon, IN 46123-7752 | 2012-03-21 |
| 1447537352 | Frank Ciarniello | Pharmacist | 3367 Burgundy Cir, Avon, OH 44011-2590 | 2011-11-05 |
| Find all providers in AVON | ||||
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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.