Phuong T Phan, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-0018092 Issued in OR

Practice address

8122 SE Tibbetts St
Portland, OR 97206-1768

Phone

(503) 255-1111

NPI assigned

Oct 28, 2020

Last updated

Oct 28, 2020By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Columbia Medical Clinic PC

  dba Columbia Clinic PC

  • Internal Medicine Physician
  • Portland, OR
  • NPI 1184785842
  NPD
• Columbia Pharmacy LLC

  • Community/Retail Pharmacy
  • Portland, OR
  • NPI 1104121938
  NPD

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1407456551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 SW SCHOLLS FERRY RD APT D101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251672",
            "telephone_number": "571-405-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8122 SE TIBBETTS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972061768",
            "telephone_number": "503-255-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "PHUONG",
        "middle_name": "T",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0018092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Phan, RDH
• Michael Phan, PHARMD
• Molly Sue Phan, O.D.
• Mona Tuong-Khanh Phan
• Nhu Y Sarah Phan, RN
• Steven T Phan, MD
• Tran Phan
• Trinh Phan, DC
• Van Le Phan, PH.D.
• Suphaphon Wendy Phanthadeth-Aguinaldo, RN

• Pharmacist in Portland, OR
• Providers in Portland, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.