Active NPI
Quoc Tran Duy Phan, PHARMD
- Pharmacist
- Garden Grove, CA
National Provider Identifier
1477894970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67067
- Practice address
- 8771 Hewitt PL
Garden Grove, CA 92844-2626 - Phone
- (503) 810-6812
- NPI assigned
- Mar 7, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 67067 | CA | Primary |
| Pharmacist | 183500000X | 48170 | TX |
Addresses
Primary practice location
8771 Hewitt PL
Garden Grove, CA 92844-2626
Mailing address
8771 Hewitt PL
Garden Grove, CA 92844-2626
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 |
|---|---|---|---|
| 67067 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362614400000",
"number": "1477894970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8771 HEWITT PL",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928442626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8771 HEWITT PL",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928442626",
"telephone_number": "503-810-6812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "QUOC",
"middle_name": "TRAN DUY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-07",
"last_updated": "2013-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "67067",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "48170",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.