Tran N Phan, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

54739 Issued in CA

Practice address

26520 Cactus Ave
Pharmacy Department
Moreno Valley, CA 92555-3927

Phone

(951) 486-4490

NPI assigned

Apr 3, 2008

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": "1207180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1679746390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6027 BARTLETT AVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917752611",
            "telephone_number": "626-278-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26520 CACTUS AVE",
            "address_2": "PHARMACY DEPARTMENT",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925553927",
            "telephone_number": "951-486-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "TRAN",
        "middle_name": "N",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "54739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindy Nhung Phan, DO
• Minh Huy Phan, PHARM.D
• Preston Phan, DO
• Quang Xuan Phan, PHARMD
• Quyen DO Phan, PHARM.D.
• Desiree Marie Phillips
• Tarron Phillips
• Lenh S. Phui, DDS
• Paige Pieper, RDN
• Paige Elizabeth Pierce

• Pharmacist in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.