Active NPIIndividual provider

Phat Pham, PHARMD

Pharmacist in Waltham, Massachusetts

NPI Number1417783085
Practice location
12 Harvard St, Waltham, MA 02453-8513
Fax
—
Last updated
September 11, 2024

Phat Pham is a Pharmacist based in Waltham, MA. Phat Pham practices in Waltham, MA and has the professional credentials of PHARMD. The NPI Number for Phat Pham is 1417783085 and holds a License No. PH1000787 (MA). The current practice location address for Phat Pham is 12 Harvard St, Waltham, MA 02453-8513 and can be reached out via phone at 781-894-1600.

Provider Profile Details

NPI Number
1417783085
Provider Name
Phat Pham
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
12 Harvard St, Waltham, MA 02453-8513
Phone Number
781-894-1600
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
September 11, 2024
Last Update Date
September 11, 2024
Certification Date
September 10, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Harvard St
Waltham, MA 02453-8513
Zip
02453-8513
Phone Number
781-894-1600
Waltham, MA 02453Get directions →

Provider Business Mailing Address Details

Address
1 Littles Brook CT Apt 29
Burlington, MA 01803-6511
City
Burlington
State
MA
Zip
01803-6511
Phone Number
857-800-3598

License Information

License Number
PH1000787
License State
MA
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Phat Pham, PHARMD?

The NPI number of Phat Pham, PHARMD is 1417783085. It was assigned on September 11, 2024 and is currently active in the NPPES registry.

What is the specialty of Phat Pham, PHARMD?

Phat Pham, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in MA under license number PH1000787.

Where does Phat Pham, PHARMD practice?

The practice location is 12 Harvard St, Waltham, MA 02453-8513. The office can be reached at 781-894-1600 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417783085 directly on the NPPES registry website.

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