Alain Phan
Individual provider Active NPI Pharmacist · Shafter, CA
NPI 1679088991 · NPPES record last updated Dec 8, 2017
Key facts
- NPI
- 1679088991
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 77900 (CA)
- Practice address
- 150 E Lerdo Hwy
Shafter, CA 93263-2702 - Phone
- (661) 746-4991
- NPI assigned
- Dec 8, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77900 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 77900 | CA | Yes |
Addresses
Primary practice location
150 E Lerdo Hwy
Shafter, CA 93263-2702
Mailing address
9923 Iroquois LN
Bakersfield, CA 93312-5327
Phone (714) 717-2046
Other providers in Shafter, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.