Loi C Phan

Primary specialty

PharmacistTaxonomy code 183500000X

License

56232 Issued in CA

Practice address

4410 Slauson Ave
Maywood, CA 90270-2932

Phone

(323) 771-9422

Fax

(323) 771-4461

NPI assigned

May 15, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Practice roles

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.

• Thrifty Payless Inc

  dba Rite Aid Pharmacy 06833

  • Community/Retail Pharmacy
  • Winchester, CA
  • NPI 1437874062
  NPD (past)
• Thrifty Payless Inc

  dba Rite Aid Pharmacy 05479

  • Community/Retail Pharmacy
  • Maywood, CA
  • NPI 1639185937
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669688594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 SLAUSON AVE",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902702932",
            "telephone_number": "323-771-9422",
            "fax_number": "323-771-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 SLAUSON AVE",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902702932",
            "telephone_number": "323-771-9422",
            "fax_number": "323-771-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "LOI",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "56232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nursenow Healthcare Staffing Corporation
• Christine Pallette
• Pediatric and Family Medical Center
• Yvette Perdomo, M.D.
• Christel Magdalena Perez Medina, N/A
• Grace Piggue
• Alicia Plascencia
• Reynaldo Quinonez, PA19411
• Jocelyn Quintana
• Rafael Pou DDS Inc (Genesis Dental)

• Pharmacist in Maywood, CA
• Providers in Maywood, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.