MR. CANH MINH PHAM (NPI# 1871843003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871843003 |
| Entity Type | Individual |
| Full Name | MR. CANH MINH PHAM |
| Credential | PHARMD |
| Practice Address |
1100 N Meridian Puyallup WA 98371-4403 |
| Practice Telephone | 2538408183 |
| Practice Fax Number | 2538408177 |
| Mailing Telephone | 2538408183 |
| Mailing Fax Number | 2538408177 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH00022358 | WA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578733879 | Canh Pham | Pharmacist | 155 Islip Ave, Islip, NY 11751-3210 | 2008-03-03 |
| Street Address |
1100 N MERIDIAN |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98371-4403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386689818 | Fred Meyer Stores Inc | Pharmacy | 1100 N Meridian, Puyallup, WA 98371-4403 | 2006-06-18 |
| 1235683582 | Connie C. Lee, Od, Pllc | Optometrist | 1100 N Meridian, Attn: Vista Optical, Puyallup, WA 98371-4403 | 2016-08-04 |
| 1639514417 | Mukesh N Patel | Pharmacist | 1100 N Meridian, Puyallup, WA 98371-4403 | 2013-05-07 |
| 1497093850 | Barry Drew Brenden | Pharmacist | 1100 N Meridian, Puyallup, WA 98371-4403 | 2013-01-19 |
| 1922359363 | Charlie David Crow | Pharmacist | 1100 N Meridian, Puyallup, WA 98371-4403 | 2012-09-25 |
| 1780931980 | Andrew Warden Zacheis | Pharmacist | 1100 N Meridian, Puyallup, WA 98371-4403 | 2012-08-07 |
| 1578810677 | Joel Aldor Eastman | Pharmacist | 1100 N Meridian, Puyallup, WA 98371-4403 | 2012-08-07 |
| 1477581080 | Nida Goulding | Optometrist | 1100 N Meridian, Puyallup, WA 98371-4403 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588141550 | Karen Lynn Sorensen | Massage Therapist | 922 Valley Ave Nw Suite 101, Puyallup, WA 98371 | 2018-07-23 |
| 1487140257 | Bradley Dupea | Specialist/Technologist | 5702 44th St Se, Puyallup, WA 98371 | 2018-07-05 |
| 1740778695 | Pedraum Heydari | Dentist | 109 N Meridian Suite A, Puyallup, WA 98371 | 2018-04-26 |
| 1487030359 | Jennifer Block | Dental Hygienist | 601 4th Ave Sw, Puyallup, WA 98371 | 2015-08-03 |
| 1023423431 | On Your Own Inc. | Registered Nurse | 1602 Peach Park Ln Nw, Puyallup, WA 98371 | 2014-06-24 |
| 1841614997 | Enrique Somera | Registered Nurse | 1107 29th St Nw, Puyallup, WA 98371 | 2014-02-10 |
| 1033540893 | Ching Ju Chuang | Dentist | 1002 N. Meridian, Suite 104a, Puyallup, WA 98371 | 2013-12-04 |
| 1104161876 | Denise L. Vanaman | Registered Nurse | 214 W. Main, Puyallup, WA 98371 | 2012-12-06 |
| 1336491018 | Tacoma School District | Physical Therapy Assistant | 1721 8th Ave. S.w., Puyallup, WA 98371 | 2012-10-05 |
| 1275882052 | Robert Francis Saxton | Health Educator | 1121 W. Stewart, Puyallup, WA 98371 | 2012-09-07 |
| Find all providers in zip 98371 | ||||
| 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 |
|---|---|---|---|---|
| 1366051401 | Staci Mack | Pharmacist | 17927 97th Ln E, Puyallup, WA 98375-6319 | 2020-07-24 |
| 1376024638 | David Aaron Edward Corey | Pharmacist | 2130 W Pioneer, Puyallup, WA 98371-5266 | 2018-08-24 |
| 1710497284 | Gerald Conner Mcfaul | Pharmacist | 3909 10th St Se # 102, Puyallup, WA 98374-2189 | 2017-10-10 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1649680307 | Jason Farmer | Pharmacist | 17719 75th Ave E, Puyallup, WA 98375-3306 | 2014-05-04 |
| 1912340951 | Joanne Sorenson Iverson | Pharmacist | 3007 41st St Se, Puyallup, WA 98374-1740 | 2013-04-09 |
| 1275887267 | Andrew Nelson Smith | Pharmacist | 14308 Meridian Ave E., Puyallup, WA 98375 | 2012-10-30 |
| 1336498922 | Allen Shih | Pharmacist | 11012 Canyon Rd. East, Puyallup, WA 98373 | 2012-08-29 |
| 1316259104 | Vani Somasundaram | Pharmacist | 12811 Meridian E, Puyallup, WA 98373-5646 | 2010-07-08 |
| 1093035131 | Hee Do Park | Pharmacist | 9502 176th St E, Puyallup, WA 98375-9300 | 2010-06-10 |
| Find all providers in PUYALLUP | ||||
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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.