LISA PHAM (NPI# 1548770738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548770738 |
| Entity Type | Individual |
| Full Name | LISA PHAM |
| Credential | PHARMD |
| Practice Address |
535 Robinson Ave San Diego CA 92103-4209 |
| Mailing Address |
6465 High Knoll Rd San Diego CA 92111-5428 |
| Practice Telephone | 6192913705 |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 77287 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144881491 | Lisa Pham | Optometrist | 3555 N York St, Denver, CO 80205-4158 | 2019-06-27 |
| 1770952418 | Lisa Tran Hoang My Pham | Pharmacist | 11234 Anderson St Lbby Level, Loma Linda, CA 92354-2804 | 2015-09-23 |
| 1952603706 | Lisa Ly Pham | Social Worker | 5945 Camellia Ave, Temple City, CA 91780 | 2010-11-30 |
| 1275502379 | Lisa Pham | Internal Medicine | 3231 S National Ave Ste 300, Springfield, MO 65807-7304 | 2006-03-14 |
| 1568018786 | Lisa Kim Pham | Counselor | 801 E Chapman Ave Ste 203, Fullerton, CA 92831 | 2019-08-13 |
| 1285076570 | Lisa Pham | Pharmacist | 800 Commons Pl, Manhattan, KS 66503-3001 | 2013-07-27 |
| 1982961819 | Lisa Pham | Pediatrics | 8080 N Stadium Dr, Houston, TX 77054-1829 | 2012-04-17 |
| Street Address |
535 ROBINSON AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-4209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861513277 | Denise Yim | Pharmacist | 535 Robinson Ave, San Diego, CA 92103-4209 | 2007-04-03 |
| 1851918981 | Josel James Decastro Mariano | Pharmacist | 535 Robinson Ave, San Diego, CA 92103-4209 | 2020-07-06 |
| 1982179768 | Melissa Farin | Pharmacist | 535 Robinson Ave, San Diego, CA 92103-4209 | 2018-10-09 |
| 1669846911 | Mari Nanamori | Pharmacist | 535 Robinson Ave, San Diego, CA 92103-4209 | 2015-11-24 |
| 1629441084 | Tracy Hong Tran | Pharmacist | 535 Robinson Ave, San Diego, CA 92103-4209 | 2015-11-06 |
| 1629448212 | Van Tran | Pharmacist | 535 Robinson Ave, San Diego, CA 92103-4209 | 2015-09-25 |
| 1598171076 | Allen Rangsisourigna | Pharmacist | 535 Robinson Ave, San Diego, CA 92103-4209 | 2014-07-07 |
| 1710392816 | Steven Anderson | Pharmacist | 535 Robinson Ave, San Diego, CA 92103-4209 | 2014-06-26 |
| 1134530009 | Shahab Godarz | Pharmacist | 535 Robinson Ave, San Diego, CA 92103-4209 | 2014-05-14 |
| 1760815716 | Jeffrey Michael Pao | Pharmacist | 535 Robinson Ave, San Diego, CA 92103-4209 | 2013-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| 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 |
|---|---|---|---|---|
| 1518567619 | Tarun Krishna Krothapalli | Pharmacist | 500 S Dr Ee Dunlap St Ste C, San Diego, TX 78384-3212 | 2020-10-28 |
| 1831702943 | Hoa Thi Huynh | Pharmacist | 4631 Mount Longs Dr, San Diego, CA 92117-3047 | 2020-08-28 |
| 1750999371 | Andrea D Nishimoto-macedo | Pharmacist | 8243 Westmore Rd, San Diego, CA 92126-2218 | 2020-07-20 |
| 1275141889 | Amina Duh | Pharmacist | 6405 Mira Mesa Blvd, San Diego, CA 92121-4147 | 2020-07-20 |
| 1891312104 | Rupangi Subhashchandra Patel | Pharmacist | 10892 Caminito Alvarez, San Diego, CA 92126-5808 | 2020-07-02 |
| 1700401403 | Sun-yong Park | Pharmacist | 11251 Paseo Montanoso Apt 153, San Diego, CA 92127-5933 | 2020-06-09 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1235760331 | Farah Alaziz | Pharmacist | 4153 University Ave, San Diego, CA 92105-1421 | 2020-01-28 |
| 1356980429 | Patricia Ann Walsh | Pharmacist | 6725 Mesa Ridge Rd Ste 230, San Diego, CA 92121-2925 | 2020-01-06 |
| 1003455262 | Jennifer Wang | Pharmacist | 12037 Mil Pitrero Rd, San Diego, CA 92128-5281 | 2020-01-04 |
| Find all providers in SAN DIEGO | ||||
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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.