Susie N Phan, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

55443 Issued in CA

Practice address

10402 Westminster Ave # C
Garden Grove, CA 92843-4861

Phone

(714) 534-4133

Fax

(714) 534-4052

NPI assigned

Oct 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Cana Pharmacy Corporation

  • Pharmacy
  • Westminster, CA
  • NPI 1578158168
  NPD Authorized official
• Lien Thi Khong

  • Community/Retail Pharmacy
  • Garden Grove, CA
  • NPI 1467434845
  NPD Authorized official

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330128000000",
    "number": "1306836358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10402 WESTMINSTER AVE # C",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434861",
            "telephone_number": "714-534-4133",
            "fax_number": "714-534-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10402 WESTMINSTER AVE # C",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434861",
            "telephone_number": "714-534-4133",
            "fax_number": "714-534-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "SUSIE",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2012-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "55443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nguyen Quoc Phan
• Quang Quoc Phan, M.D.
• Quoc Tran Duy Phan, PHARMD
• Ricky Nguyen Phan, ACNP
• Sandy Diemly Phan, PHARMACIST
• Thaibinh Tran Phan, M.D.
• Thuan Ngoc Phan, D.C.
• Tuan Phan
• Vu Huy Phan, D.C, FNP-C, L.AC
• Phat L Tran DMD Inc

• Pharmacist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2012; 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.