1. Home
  2. Directory
  3. Texas
  4. Bryan
  5. Pharmacist
  6. NPI Profile

JONATHAN PHAM PHARMD
NPI 1265031041
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Bryan, TX

Active since October 22, 2020
2303 BOONVILLE RD, BRYAN, TX 77808(979) 774-8377(979) 774-8362 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jonathan Pham Pharmd NPPES

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

JONATHAN PHAM PHARMD (NPI 1265031041) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Bryan, Texas, licensed in Texas (57768) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1265031041
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameJONATHAN PHAMCredential: PHARMD
Location Address2303 BOONVILLE RDBryan, TX 77808-2232
Mailing Address2303 Boonville RdBryan, TX 77808-2232 · (979) 774-8377 · Fax (979) 774-8362
Phone(979) 774-8377
Fax(979) 774-8362
Sole ProprietorNo
Enumeration DateOctober 22, 2020
NPPES CertifiedOctober 22, 2020
✔ NPI 1265031041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in TX · 57768
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
2303 BOONVILLE RD, Bryan, TX 77808
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

MR. ROBERT EUGENE NIEMANN R.PH
Pharmacist
2303 BOONVILLE RD
BRYAN, TX 77808
Brazos County (979) 774-8377
KROGER TEXAS L P
Pharmacy (Community/Retail Pharmacy)
2303 BOONVILLE RD
BRYAN, TX 77808
Brazos County (979) 774-8377
RACHEL ROCHELLI PHARMD
Pharmacist
2303 BOONVILLE RD
BRYAN, TX 77808
Brazos County (979) 774-8377

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 Jonathan Pham's NPI number?

The NPI number for Jonathan Pham is 1265031041. It was assigned to this individual provider in the NPPES registry on October 22, 2020.

Where is Jonathan Pham located?

Jonathan Pham practices at 2303 Boonville Rd, Bryan, TX 77808. The listed phone number is (979) 774-8377.

What is Jonathan Pham's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Jonathan Pham was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.