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1649795709 NPI number — MAI-KHOI PHAM PHARMD

NPI Number: 1649795709
Health Care Provider/Practitioner: MAI-KHOI PHAM PHARMD

Information about “1649795709” NPI (MAI-KHOI PHAM PHARMD) exists in 1649795709 in HTML format HTML  |  1649795709 in plain Text format TXT  |  1649795709 in PDF (Portable Document Format) PDF  |  1649795709 in an XML format XML  formats.

NPI Number : 1649795709 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649795709",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PHAM",
    "FirstName": "MAI-KHOI",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PHAM",
    "OtherFirstName": "MOLLY",
    "OtherMiddleName": "VU",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PHARMD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1816 N PECKHAM CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WICHITA",
    "MailingAddressStateName": "KS",
    "MailingAddressPostalCode": "67230-1787",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "316-516-6421",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "225 E CLOUD AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ANDOVER",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "67002-8824",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "316-733-3725",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/10/2017",
    "LastUpdateDate": "08/10/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "1-102894",
        "LicenseNumberStateCode": "KS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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