Active NPI
Ngoc-Thao Thi Phan, PHARMD
- Pharmacotherapy Pharmacist
- Omaha, NE
National Provider Identifier
1245778554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 13680
- Practice address
- 2121 Douglas St Apt 707
Westbrook Tower Apt 707
Omaha, NE 68102-1244 - Phone
- (402) 730-5623
- NPI assigned
- Feb 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 13680 | NE | |
| Pharmacotherapy Pharmacist | 1835P1200X | 13680 | NE | Primary |
| Ambulatory Care Pharmacist | 1835P2201X | 13680 | NE |
Addresses
Primary practice location
2121 Douglas St Apt 707
Westbrook Tower Apt 707
Omaha, NE 68102-1244
Mailing address
2121 Douglas St Apt 707
Westbrook Tower Apt 707
Omaha, NE 68102-1244
Phone (402) 730-5623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13680 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486425600000",
"number": "1245778554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 DOUGLAS ST APT 707",
"address_2": "WESTBROOK TOWER APT 707",
"city": "OMAHA",
"state": "NE",
"postal_code": "681021244",
"telephone_number": "402-730-5623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 DOUGLAS ST APT 707",
"address_2": "WESTBROOK TOWER APT 707",
"city": "OMAHA",
"state": "NE",
"postal_code": "681021244",
"telephone_number": "402-730-5623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "NGOC-THAO",
"middle_name": "THI",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-07",
"last_updated": "2017-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NE",
"license": "13680",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NE",
"license": "13680",
"primary": true
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "NE",
"license": "13680",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.