Active NPI
Laura Ann Phan, PHARMD
- Pharmacist
- Palo Alto, CA
National Provider Identifier
1376996454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 68945
- Practice address
- 213 Quarry Rd
Room 2726a
Palo Alto, CA 94304-1416 - Phone
- (650) 721-5126
- Fax
- (650) 724-7484
- NPI assigned
- Jul 13, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 68945 | CA | Primary |
Addresses
Primary practice location
213 Quarry Rd
Room 2726a
Palo Alto, CA 94304-1416
Mailing address
213 Quarry Rd
Room 2726a
Palo Alto, CA 94304-1416
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468368000000",
"number": "1376996454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 QUARRY RD",
"address_2": "ROOM 2726A",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 QUARRY RD",
"address_2": "ROOM 2726A",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041416",
"telephone_number": "650-721-5126",
"fax_number": "650-724-7484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "LAURA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-13",
"last_updated": "2016-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "68945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.