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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NATHAN PHAM, M.D

Deactivated Sole Proprietor

NATHAN PHAM, M.D is a Pharmacist healthcare provider located in SAN ANTONIO, Texas. NPI 1114245339 is deactivated in the NPPES registry. Verify at CMS.

Pharmacist · SAN ANTONIO, TX

This NPI has been deactivated. The record was deactivated on March 12, 2014. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1114245339
Provider Type
Individual
Gender
Male
NPI Issued
May 12, 2010 (3.8328767123288 yrs)
Last Updated
Sep 4, 2020
Deactivated
Mar 12, 2014
Licenses
BP10037842 (TX)
PS58864 (FL)
Sole Proprietor
Yes

Practice Information

Address
4511 BRIAR FRST
SAN ANTONIO, TX, 782171415
Browse TX providers · Browse ZIP 78217
Phone
3054964409
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist

Other Pharmacist Providers in SAN ANTONIO, TX

Name Credential NPI
DR. JEREMY J. KUHN PHARMD 1972502177
MR. ERIC SHAWN FALK R.PH. 1790784908
NELLI SAVKINA R.PH 1659371466
PAMELA E NORSTROM M.S., R.PH 1518967975
MRS. CAROLYN M. CHRISTENSEN-HUNTER R.PH. 1679575260
MRS. VICKI R SINGLETON RPH 1750373122
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.