Active NPI
Khanh Phan, PHARMD
- Pharmacotherapy Pharmacist
- Cedar Rapids, IA
National Provider Identifier
1821925413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 18477
- Practice address
- 1026 A Ave NE
Cedar Rapids, IA 52402-5036 - Phone
- (319) 369-7335
- NPI assigned
- May 6, 2026
- Last updated
- May 6, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 18477 | IA | Primary |
Addresses
Primary practice location
1026 A Ave NE
Cedar Rapids, IA 52402-5036
Mailing address
1179 Portsmith Cir
Marion, IA 52302-6628
Phone (319) 450-8583
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18477 | IA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1821925413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1179 PORTSMITH CIR",
"city": "MARION",
"state": "IA",
"postal_code": "523026628",
"telephone_number": "319-450-8583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 A AVE NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025036",
"telephone_number": "319-369-7335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "KHANH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-06",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IA",
"license": "18477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
- Caroline Petrik, T-LMFT
- Morgan Cecilia Petsche
- Abigail Seagle Petty, AUD
- Taylor Pflughaupt, DPT
- Elizabeth Pfohl
- Ryan Phelan, PHARMD
- Physical Medicine & Rehabilitation Associates of Northeast Iowa, Inc
- Physicians Choice Diagnostic Sleep Center, LLC
- Physicians Clinic of Iowa, PC (Iowa Blood and Cancer Care of PCI Medication Dispensing Service)
- Physicians' Clinic of Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.