Phraeophan Han, PHARM.D.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

67965 Issued in CA

Practice address

13652 Cantara St
Panorama City, CA 91402-5423

Phone

(818) 375-2417

NPI assigned

Sep 3, 2012

Reactivated

May 5, 2022

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1346630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1669721858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 LAUREL CANYON BLVD APT 109",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916044707",
            "telephone_number": "818-943-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13652 CANTARA ST",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914025423",
            "telephone_number": "818-375-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "PHRAEOPHAN",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-03",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "deactivation_date": "2022-03-09",
        "reactivation_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "67965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Homa Halimi
• Jeffrey Halperin
• Shant A. Hamamah, MD
• Lemar Alex Krishando Hamilton, MD
• Alberta Hampton Smith, PA
• Steve Kwan-Woo Han, MD
• Jeffrey I. Hananel, DO
• Krystal Lanee Handy, PH.D, LMFT
• Melissa Haney, PA
• Abigail Sturgeon Hankins, MS, CCC-SLP

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Panorama City, CA
• Providers in Panorama City, CA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.

Verify at the official NPI Registry.