Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1477052819 Deactivated / Inactive NPI Female Practitioner

Grace G Pham

Pharmacist • Poway, CA

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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, Grace Pham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 11, 2018
NPI Deactivation Date April 03, 2025
Total Practice Duration ~7 Years of Practice (2018 – 2025)

Professional Overview & Biography Verified Profile Summary

Grace Pham was a registered Pharmacist practicing in Poway, CA. Throughout an active medical career spanning 7 years, Grace Pham provided care at the practice location at 13425 COMMUNITY RD until profile deactivation on 2025-04-03.

Practice Location & Contact Primary Location

Practice Address

13425 Community Rd

Poway, CA 92064

Telephone 8584861801
Fax 8584861803
Associated Practice Facility / Clinic
🏢 Walmart Inc. Facility NPI 1295752541

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Poway, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.8 Yrs
Regional Practice Density
39 Specialists

Practicing in Poway, CA (33119 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 CA RPH52371

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1083168330

Pharmacist

NPI 1639622053

Doctor of Pharmacy (Pharm.D.)

NPI 1831698786

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 April 03, 2025

Record deactivated on April 03, 2025

NPI Profile Active February 11, 2018

NPI status registered as active in NPPES database

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Updated Practice Location February 11, 2018

Registered at 13425 COMMUNITY RD, POWAY, CA 92064 (Tel: 8584861801)

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Updated Business Mailing Address February 11, 2018

Registered at 13425 COMMUNITY RD, POWAY, CA 92064 (Tel: 8584861801)

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Provider Name / Credentials Updated February 11, 2018

Recorded as GRACE PHAM

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2018

Pharmacist (License #RPH52371 in CA)

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Initial NPI Registration & Enumeration February 11, 2018

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: 1477052819
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 11, 2018
Last Update: February 11, 2018
Deactivation Date: April 03, 2025

Mailing Address

13425 Community Rd

Poway, CA 92064

Phone: 8584861801

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.