DR. LONG THIEN PHAM (NPI# 1710223979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710223979 |
| Entity Type | Individual |
| Full Name | DR. LONG THIEN PHAM |
| Credential | PHARM.D. |
| Practice Address |
Hwy 191 Hospital Turnoff Chinle AZ 86503 |
| Mailing Address |
Po Box 680 Chinle AZ 86503-0680 |
| Practice Telephone | 9286747526 |
| Practice Fax Number | 9286747526 |
| Mailing Telephone | 5712862178 |
| Mailing Fax Number | 9286747463 |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
0202209765 | VA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962986042 | Long Pham | Recreation Therapist | 7175 Enclave Dr, Eastvale, CA 92880-3828 | 2018-09-24 |
| 1245681345 | Long Pham | Pharmacist | 11246 Trask Ave, Garden Grove, CA 92843-2632 | 2016-06-29 |
| 1215317821 | Long Ngoc Pham | Internal Medicine | 250 N Robertson Blvd Ste 603, Beverly Hills, CA 90211-1793 | 2015-06-09 |
| 1497178461 | Long Pham | Pharmacist | 2171 Oneal Ln, Baton Rouge, LA 70816-3206 | 2014-01-28 |
| 1063712479 | Long Dzu Pham | Pharmacist | 12200 E Mississippi Ave, Aurora, CO 80012-3454 | 2010-11-01 |
| 1083840441 | Long P Pham | Dentist | 1300 W 2nd St, Rock Falls, IL 61071-1005 | 2009-05-29 |
| 1851551592 | Long Dang Pham | Dentist | 6400 Seven Corners Pl, Ste K, Falls Church, VA 22044-2032 | 2008-06-16 |
| Street Address |
HWY 191 HOSPITAL TURNOFF |
| City | CHINLE |
| State | AZ |
| Zip Code | 86503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780036970 | Bryant Watson | Pharmacist | Hwy 191 Hospital Turnoff, Chinle, AZ 86503 | 2016-07-12 |
| 1053761643 | Latoya Martin | Pharmacist | Hwy 191 Hospital Turnoff, Chinle, AZ 86503 | 2016-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042461 | Jonathan Lam | Optometrist | Us 191 & Hospital Dr., Chinle, AZ 86503 | 2020-04-16 |
| 1154950004 | David Gibrael | Pharmacist | Us 191 Hospital Drive, Chinle, AZ 86503 | 2020-04-03 |
| 1366076739 | Calli Jo Swenson | Pharmacist | Us 191 & Hospital Drive, Chinle, AZ 86503 | 2020-02-25 |
| 1336770338 | Quan The Truong | Pharmacist | Us Hway 191 & Hospital Road, Po Drawer Ph, Chinle, AZ 86503 | 2020-01-29 |
| 1275172264 | Alexandra Guthart | Pharmacist | Us 191 and Hospital Dr, Chinle, AZ 86503 | 2019-12-23 |
| 1811530819 | Brian Spencer | Dentist | U.S. 191 and Hospital Drive, Chinle, AZ 86503 | 2019-10-22 |
| 1881249084 | Natasha Renee Bitsui | Community Health Worker | Navajo Rte 7 and 102-1, C012-118, Chinle, AZ 86503 | 2019-08-05 |
| 1871063628 | Zachary Holtkamp | Physical Therapist | Off Highway 191, Hospital Rd, Chinle, AZ 86503 | 2018-12-04 |
| 1841774296 | Tanieca Marie Downing | Dietitian, Registered | U.S. 191 & Hospital Drive, Chinle, AZ 86503 | 2018-09-21 |
| 1417430331 | Virginia Lois Woollens | Dietitian, Registered | Chinle Comprehensive Healthcare Facility, Us 191, Chinle, AZ 86503 | 2018-09-07 |
| Find all providers in zip 86503 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548265440 | Maya A Thompson | Pharmacist | Chinle Comprehensive Health Care Facility, Po Drawer Ph Off Highway 191, Chinle, AZ 86503 | 2005-06-16 |
| 1639347982 | Radha Bala Manian | Pharmacist | Indian Health Service, Off Hwy N 191, Chinle, AZ 86503 | 2008-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003425000 | David M Hoehn | Pharmacist | 3413 W Donatello Dr, Phoenix, AZ 85086-2290 | 2020-07-24 |
| 1558901793 | Crystal Kaurin | Pharmacist | 21503 N 71st Dr, Glendale, AZ 85308-9546 | 2020-01-15 |
| 1912416975 | Jenna Pakala | Pharmacist | 6250 E Grant Rd Apt 388, Tucson, AZ 85712-5811 | 2017-09-21 |
| 1972998771 | Jordan Cottam | Pharmacist | 1515 W Aloe Vera Dr, Phoenix, AZ 85085-9032 | 2015-03-30 |
| 1528470606 | Govindarajulu Krishnaswamy | Pharmacist | 1845 E. Baseline Road, Gilbert, AZ 85234 | 2014-05-23 |
| 1821422395 | Donna Marie Faber | Pharmacist | 650 E Indian School Rd # 119, Phoenix, AZ 85012-1839 | 2013-09-02 |
| 1629416938 | Larry D Sanders | Pharmacist | 3076 Tom Tom Dr, Lake Havasu City, AZ 86406-8630 | 2013-06-08 |
| 1356681936 | Marilyn Ritchey | Pharmacist | 3100 S Walkup Dr, Flagstaff, AZ 86005-8978 | 2013-02-19 |
| 1922346808 | Lindsay Sampson | Pharmacist | 1 Mile North On Navajo Rt 16, Inscription House Health Center, Shonto, AZ 86054-7397 | 2013-01-28 |
| 1679826325 | Anastasia Shields | Pharmacist | 2141-1 Dine Drive, Fort Defiance, AZ 86504-0097 | 2012-10-18 |
| 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.