Active NPI
Minh Ha Thi Phan
- Pharmacist
- Lincoln City, OR
National Provider Identifier
1922550847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0015650
- Practice address
- 4048 NE Highway 101
Lincoln City, OR 97367-5069 - Phone
- (541) 994-5670
- NPI assigned
- Oct 26, 2016
- Last updated
- Oct 26, 2016
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0015650 | OR | Primary |
Addresses
Primary practice location
4048 NE Highway 101
Lincoln City, OR 97367-5069
Mailing address
4048 NE Highway 101
Lincoln City, OR 97367-5069
Phone (541) 994-5670
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0015650 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477440000000",
"number": "1922550847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4048 NE HIGHWAY 101",
"city": "LINCOLN CITY",
"state": "OR",
"postal_code": "973675069",
"telephone_number": "541-994-5670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4048 NE HIGHWAY 101",
"city": "LINCOLN CITY",
"state": "OR",
"postal_code": "973675069",
"telephone_number": "541-994-5670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "MINH HA",
"middle_name": "THI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-26",
"last_updated": "2016-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0015650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.