TRACY PHAM RPH
NPI 1104314392
Pharmacist in Scotts Valley, CA

Active since April 24, 2018
210 MOUNT HERMON RD, SCOTTS VALLEY, CA 95066(831) 420-9113 Get Directions Write a Review

NPPES record last updated: April 24, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tracy Pham Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY PHAM RPH (NPI 1104314392) is an individual pharmacist in Scotts Valley, California, licensed in California (77084) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1104314392
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameTRACY PHAMCredential: RPH
Location Address210 MOUNT HERMON RDScotts Valley, CA 95066-4009
Mailing Address18710 Newsom AveCupertino, CA 95014-3855
Sole ProprietorNo
Enumeration DateApril 24, 2018
NPI 1104314392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 77084
Definition

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.

210 MOUNT HERMON RD, Scotts Valley, CA 95066

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
210 MOUNT HERMON RD
SCOTTS VALLEY, CA 95066
Pharmacist
210 MOUNT HERMON RD
SCOTTS VALLEY, CA 95066
Pharmacist
210 MOUNT HERMON RD
SCOTTS VALLEY, CA 95066
Pharmacist
210 MOUNT HERMON RD
SCOTTS VALLEY, CA 95066
Pharmacist
210 MOUNT HERMON RD
SCOTTS VALLEY, CA 95066
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
210 MOUNT HERMON RD
SCOTTS VALLEY, CA 95066
Pharmacist
210 MOUNT HERMON RD
SCOTTS VALLEY, CA 95066
Pharmacy
210 MOUNT HERMON RD
SCOTTS VALLEY, CA 95066

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104314392, enumerated as an "individual" on April 24, 2018.

The provider is located at 210 MOUNT HERMON RD SCOTTS VALLEY, CA 95066 and the phone number is (831) 420-9113.

Pharmacist with taxonomy code 183500000X.