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Deactivated NPI 1487963773 Deactivated / Inactive NPI Male Practitioner

Kevin Hoang Pham , PHARMACIST

Pharmacist • Goodyear, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kevin Pham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 04, 2010
NPI Deactivation Date November 30, 2021
Total Practice Duration ~11 Years of Practice (2010 – 2021)

Professional Overview & Biography Verified Profile Summary

Kevin Pham, PHARMACIST was a registered Pharmacist practicing in Goodyear, AZ. Throughout an active medical career spanning 11 years, Kevin Pham provided care at the practice location at 14047 W WINDSOR AVE until profile deactivation on 2021-11-30.

Practice Location & Contact Primary Location

Practice Address

14047 W Windsor Ave

Goodyear, AZ 853952485

Telephone 6236806306

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Goodyear, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
99 Specialists

Practicing in Goodyear, AZ (6928 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License AZ S012967

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 30, 2021

Record deactivated on November 30, 2021

NPI Profile Active October 04, 2010

NPI status registered as active in NPPES database

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Updated Practice Location October 04, 2010

Registered at 14047 W WINDSOR AVE, GOODYEAR, AZ 853952485 (Tel: 6236806306)

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Updated Business Mailing Address October 04, 2010

Registered at 14047 W WINDSOR AVE, GOODYEAR, AZ 85395 (Tel: 6236806306)

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Provider Name / Credentials Updated October 04, 2010

Recorded as KEVIN PHAM, PHARMACIST

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2010

Pharmacist (License #S012967 in AZ)

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Initial NPI Registration & Enumeration October 04, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487963773
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2010
Last Update: October 04, 2010
Deactivation Date: November 30, 2021

Mailing Address

14047 W Windsor Ave

Goodyear, AZ 85395

Phone: 6236806306

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.