Active NPI
Thao Phan
- Pharmacist
- Delano, CA
National Provider Identifier
1982018560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 70249
- Practice address
- 1809 Cecil Ave
Delano, CA 93215-1519 - Phone
- (661) 725-1312
- NPI assigned
- Jun 11, 2014
- 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 | 70249 | CA | Primary |
Addresses
Primary practice location
1809 Cecil Ave
Delano, CA 93215-1519
Mailing address
4930 Gosford Rd
Apt 224
Bakersfield, CA 93313-6100
Phone (714) 889-0076
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 |
|---|---|---|---|
| 70249 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402444800000",
"number": "1982018560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4930 GOSFORD RD",
"address_2": "APT 224",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933136100",
"telephone_number": "714-889-0076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 CECIL AVE",
"city": "DELANO",
"state": "CA",
"postal_code": "932151519",
"telephone_number": "661-725-1312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "THAO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-11",
"last_updated": "2014-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "70249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delano, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.