Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Thoa Ngoc Pham , RPH

Pharmacist β€’ Mcconnell Afb, KS

Active NPI 1104046143 Individual Practitioner Female Practitioner
Practice location in NPPES

57950 Leavenworth St
Mcconnell Afb, KS 672213505

Call 3167595277 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

57950 Leavenworth St

Mcconnell Afb, KS 672213505

Telephone 3167595277
Organization at the Same NPPES Address or Phone
22 Mdg Facility NPI 1275931263

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Mcconnell Afb and Kansas

8 active clinicians are listed under Pharmacist with a practice address in Mcconnell Afb, KS (2,583 in Kansas).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-06
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES NH 3196

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kansas State Medical Licensing Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
NPI 1609863000

Doctor of Medicine (M.D.)

Natalie Ashmore , FNP

Nurse Practitioner - Family

NPI 1902335557

Family Nurse Practitioner

Ty Hunt , MPT

Physical Therapist

NPI 1063460905

Master of Physical Therapy

NPI 1174848204

Doctor of Dental Surgery

Dr. Regan Malcolm , MD

Family Medicine

NPI 1992296594

Doctor of Medicine (M.D.)

Dr. Ryan Thordal , DO

General Practice

NPI 1871848846

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location September 06, 2025

Registered at 57950 LEAVENWORTH ST, MCCONNELL AFB, KS 672213505 (Tel: 3167595277)

πŸ“
Updated Business Mailing Address May 18, 2023

Registered at 22ND MEDICAL GROUP, 57950 LEAVENWORTH, MCCONNELL AFB, KS 672213506 (Tel: 3167595277)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 104 S MAIN ST, ROCHESTER, NH 038673128 (Tel: 6033329360)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 27 WINGATE LN, DOVER, NH 038204496 (Tel: 6037433022)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as THOA PHAM, RPH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (license number reported to NPPES: NH 3196)

🟒
Initial NPI Registration & Enumeration May 01, 2007

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1104046143
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2007
Last Update: September 06, 2025
Sole Proprietor: Yes

Mailing Address

22nd Medical Group, 57950 Leavenworth

Mcconnell Afb, KS 672213506

Phone: 3167595277

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.