JONATHAN PHAM PHARMD NPI 1265031041

NPI Information

  • NPI: 1265031041
  • Provider Name: JONATHAN PHAM, PHARMD
  • Classification: Pharmacist - 1835P0018X
  • Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Entity Type: Individual
  • Address: 2303 BOONVILLE RD
    BRYAN, TX
    ZIP 77808
  • Phone: (979) 774-8377

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NPI Details

Jonathan Pham, PHARMD is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Bryan, TX. The provider is 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. Jonathan Pham, PHARMD NPI is 1265031041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2303 BOONVILLE RD
BRYAN, TX
ZIP 77808-232
Phone: (979) 774-8377
Fax: (979) 774-8362

The enumeration date for this NPI number is 10/22/2020 and was last updated on 10/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist57768TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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