JESSICA PHAM
NPI 1225489552
Pharmacist - Ambulatory Care in Santa Rosa, CA

Active since June 28, 2016
2235 MERCURY WAY STE 240, SANTA ROSA, CA 95407(707) 393-4230 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2021, Sep 11, 2018, Jun 28, 2016 (3 updates tracked since 2016).

About Jessica Pham NPPES

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

JESSICA PHAM (NPI 1225489552) is an individual ambulatory care provider in Santa Rosa, California, licensed in California (72813) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1225489552
Entity TypeIndividualFemale
Primary Taxonomy1835P2201X
Provider Legal NameJESSICA PHAM
Location Address2235 MERCURY WAY STE 240Santa Rosa, CA 95407-5443
Mailing Address2235 Mercury Way Ste 240Santa Rosa, CA 95407-5443 · (707) 393-4230
Sole ProprietorNo
Enumeration DateJune 28, 2016
Last NPPES UpdateNovember 22, 20213 updates tracked since enumeration
NPPES CertifiedNovember 22, 2021
NPI 1225489552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · Ambulatory CarePharmacy Service Providers
Taxonomy Code1835P2201X
License Licensed in CA · 72813
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.
2235 MERCURY WAY STE 240, Santa Rosa, CA 95407

Other Providers at the Same Location NPPES 6

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

Marriage & Family Therapist
2235 MERCURY WAY STE 240
SANTA ROSA, CA 95407
Psychologist (Clinical)
2235 MERCURY WAY STE 240
SANTA ROSA, CA 95407
Marriage & Family Therapist
2235 MERCURY WAY STE 240
SANTA ROSA, CA 95407
Psychologist (Clinical)
2235 MERCURY WAY STE 240
SANTA ROSA, CA 95407
Pharmacist
2235 MERCURY WAY STE 240
SANTA ROSA, CA 95407
Marriage & Family Therapist
2235 MERCURY WAY STE 240
SANTA ROSA, CA 95407

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Pham's NPI number?

The NPI number for Jessica Pham is 1225489552. It was assigned to this individual provider in the NPPES registry on June 28, 2016.

Where is Jessica Pham located?

Jessica Pham practices at 2235 Mercury Way Ste 240, Santa Rosa, CA 95407. The listed phone number is (707) 393-4230.

What is Jessica Pham's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Ambulatory Care, with taxonomy code 1835P2201X.

When was this NPI record last updated?

The NPPES record for Jessica Pham was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.