Active NPI
Linh Phan
- Pharmacist
- Whittier, CA
National Provider Identifier
1407275472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 51039
- Practice address
- 14919 Whittier Blvd
Whittier, CA 90605-1793 - Phone
- (562) 945-5641
- Fax
- (562) 693-8458
- NPI assigned
- Apr 7, 2014
- Last updated
- Apr 7, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 51039 | CA | Primary |
Addresses
Primary practice location
14919 Whittier Blvd
Whittier, CA 90605-1793
Mailing address
14919 Whittier Blvd
Whittier, CA 90605-1793
Phone (562) 945-5641
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51039 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ralphs Grocery Company | Past | Accepting new patients | |
| Ralphs Grocery Company | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396828800000",
"number": "1407275472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14919 WHITTIER BLVD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906051793",
"telephone_number": "562-945-5641",
"fax_number": "562-693-8458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14919 WHITTIER BLVD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906051793",
"telephone_number": "562-945-5641",
"fax_number": "562-693-8458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "LINH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-07",
"last_updated": "2014-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "51039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.