Active NPI
Linda Phan, PHARM.D
- Pharmacist
- Sacramento, CA
National Provider Identifier
1447614706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 50619
- Practice address
- 3630 Business Dr Ste L
Sacramento, CA 95820-2163 - Phone
- (916) 734-6472
- NPI assigned
- Apr 12, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 50619 | CA | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | 305007211 | CA |
Addresses
Primary practice location
3630 Business Dr Ste L
Sacramento, CA 95820-2163
Mailing address
3630 Business Dr Ste L
Sacramento, CA 95820-2163
Phone (916) 734-6472
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 |
|---|---|---|---|
| 305007211 | CA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460419200000",
"number": "1447614706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3630 BUSINESS DR STE L",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958202163",
"telephone_number": "916-734-6472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3630 BUSINESS DR STE L",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958202163",
"telephone_number": "916-734-6472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "LINDA",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-12",
"last_updated": "2016-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "50619",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "CA",
"license": "305007211",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.