Thach Phan DO, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

44837 Issued in CA

Practice address

17119 Buttonwood St
Fountain Valley, CA 92708-3506

Phone

(714) 846-5291

Fax

(714) 846-8936

NPI assigned

May 7, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Todd DO Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thrifty Payless Inc

  dba Rite Aid Pharmacy 05745

  • Community/Retail Pharmacy
  • Huntington Beach, CA
  • NPI 1407965999
  NPD (past)
• Thrifty Payless Inc

  dba Rite Aid Pharmacy 06833

  • Community/Retail Pharmacy
  • Winchester, CA
  • NPI 1437874062
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273190400000",
    "number": "1083932677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5881 WARNER AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926494657",
            "telephone_number": "714-846-5291",
            "fax_number": "714-846-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17119 BUTTONWOOD ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083506",
            "telephone_number": "714-846-5291",
            "fax_number": "714-846-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "THACH",
        "middle_name": "PHAN",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-07",
        "last_updated": "2010-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "44837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TODD",
            "last_name": "DO",
            "prefix": "MR.",
            "credential": "R.PH.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marianne M. DO, O.D.
• Michael H DO, M.D.
• Pauline Ngoc DO, PHARM. D.
• Peter DO, D.D.S.
• Quynh DO
• Thang DO
• Tiffany DO, PPS
• Nicholas N Doan Van, MD, F.A.C.C. INC.
• Jaimee Doan
• Tammie Doan

• Pharmacist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.