Active NPI
Danh Phan
- Pharmacist
- Castro Valley, CA
National Provider Identifier
1790211548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 64751
- Practice address
- 3667 Castro Valley Blvd
Castro Valley, CA 94546-4403 - Phone
- (510) 538-1227
- NPI assigned
- May 11, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 64751 | CA | Primary |
Addresses
Primary practice location
3667 Castro Valley Blvd
Castro Valley, CA 94546-4403
Mailing address
3667 Castro Valley Blvd
Castro Valley, CA 94546-4403
Phone (510) 538-1227
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California LLC | Past | Accepting new patients | |
| Longs Drug Store California LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1790211548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3667 CASTRO VALLEY BLVD",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945464403",
"telephone_number": "510-538-1227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3667 CASTRO VALLEY BLVD",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945464403",
"telephone_number": "510-538-1227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "DANH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "64751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Castro Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.