Linh Gia Phung, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

03237457 Issued in OH

Practice address

17400 Lorain Ave
Cleveland, OH 44111-4028

Phone

(216) 252-4747

NPI assigned

Dec 3, 2020

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Marc Glassman Inc

  • Pharmacy
  • Cleveland, OH
  • NPI 1558376491
  NPD (past)

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1790380962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22409 BLOSSOM DR",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162023",
            "telephone_number": "440-454-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17400 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441114028",
            "telephone_number": "216-252-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHUNG",
        "first_name": "LINH",
        "middle_name": "GIA",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03237457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bre'Anna Renee Phoenix
• Lateef Devon Phoenix
• Poukphanh Serena Phounsavath
• PHSB Sober Living
• Hoang Phung
• Ngoc Phung
• Heather Phyfer, R.N.
• Physicians Provider Services,Inc
• Physiolete
• Eve Karen Phythyon, CRNA

• Pharmacist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.