Active NPI
Thu Phan-Concepcion, PHARMD
- Pharmacist
- Rancho Mirage, CA
National Provider Identifier
1487043261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 72011
- Practice address
- 40101 Monterey Ave
Rancho Mirage, CA 92270-3261 - Phone
- (760) 674-4738
- NPI assigned
- Jan 15, 2015
- 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 | 72011 | CA | Primary |
Addresses
Primary practice location
40101 Monterey Ave
Rancho Mirage, CA 92270-3261
Mailing address
40101 Monterey Ave
Rancho Mirage, CA 92270-3261
Phone (760) 674-4738
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 |
|---|---|---|---|
| 72011 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642896000000",
"number": "1487043261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40101 MONTEREY AVE",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703261",
"telephone_number": "760-674-4738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40101 MONTEREY AVE",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703261",
"telephone_number": "760-674-4738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN-CONCEPCION",
"first_name": "THU",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-15",
"last_updated": "2022-01-23",
"certification_date": "2022-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "72011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.