Individual provider Active NPI

Susan Phan DO, PHARMACIST

  • Pharmacist
  • Reseda, CA
National Provider Identifier
1770565079
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH43236 Issued in CA
Practice address
7245 Reseda Blvd
Hado Pharmacy
Reseda, CA 91335-3046
Phone
(818) 342-9333
Fax
(818) 342-9320
NPI assigned
Nov 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH43236 CA Primary
Pharmacist 183500000X PHY40601 CA

Addresses

Primary practice location

7245 Reseda Blvd
Hado Pharmacy
Reseda, CA 91335-3046

Mailing address

7245 Reseda Blvd
Hado Pharmacy
Reseda, CA 91335-3046
Phone (818) 342-9333

Other identifiers 1

IdentifierTypeStateIssuer
PHA406010MedicaidCA

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

State licenses

LicenseStateTypeSpecialty
PHY40601CAMDPharmacist
RPH43236CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1770565079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7245 RESEDA BLVD",
            "address_2": "HADO PHARMACY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913353046",
            "telephone_number": "818-342-9333",
            "fax_number": "818-342-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7245 RESEDA BLVD",
            "address_2": "HADO PHARMACY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913353046",
            "telephone_number": "818-342-9333",
            "fax_number": "818-342-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "SUSAN",
        "middle_name": "PHAN",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH43236",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PHY40601",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA406010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.