JENNIFER THUY PHAN (NPI# 1023502713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023502713 |
| Entity Type | Individual |
| Full Name | JENNIFER THUY PHAN |
| Credential | PHARMD |
| Practice Address |
4810 Lapalco Blvd Marrero LA 70072 |
| Mailing Address |
4810 Lapalco Blvd Marrero LA 70072-4382 |
| Practice Telephone | 5043411363 |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PST.022617 | LA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385654 | Jennifer Phan | Behavior Technician | 865 Marina Bay Pkwy Ste 37 & 38, Richmond, CA 94804 | 2020-01-14 |
| 1609372150 | Jennifer Phan | Nurse Practitioner | 1452 Reed Ave, San Diego, CA 92109-5351 | 2018-04-03 |
| 1114333697 | Jennifer Phan | Pharmacist | 6848 Landing Dr, Grand Prairie, TX 75054-6810 | 2014-07-07 |
| 1538443460 | Jennifer Trinh Phan | Nurse Practitioner | 266 Main St Ste 4, Medfield, MA 02052-2018 | 2011-10-11 |
| 1861621880 | Jennifer Phan | Otolaryngology | 3113 N Broadway Street, Anderson, IN 46012-1261 | 2009-07-12 |
| 1376003509 | Jennifer Phan | Student in an Organized Health Care Education/Training Program | 5246 Brittany Dr Fl 3, Baton Rouge, LA 70808-9136 | 2019-03-22 |
| 1780002055 | Jennifer Phan | Internal Medicine | 200 Medical Plaza Ste 214, Los Angeles, CA 90095-1804 | 2014-04-02 |
| 1205265956 | Jennifer Phan | Pharmacist | 6325 Rosemead Blvd, San Gabriel, CA 91775-1933 | 2013-11-04 |
| 1972930394 | Jennifer Kim Phan | Pharmacist | 1980 Santa Rosa Ave, Santa Rosa, CA 95407 | 2013-09-30 |
| 1780991067 | Jennifer N Phan | Registered Nurse | 7000 E. Belleview, #301, Greenwood Village, CO 80111 | 2010-09-08 |
| Street Address |
4810 LAPALCO BLVD |
| City | MARRERO |
| State | LA |
| Zip Code | 70072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699792937 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4810 Lapalco Blvd, Marrero, LA 70072-4382 | 2006-07-16 |
| 1093114142 | Melissa Tieu | Pharmacist | 4810 Lapalco Blvd, Marrero, LA 70072-4382 | 2014-08-14 |
| 1811306053 | Robyn Gray | Pharmacist | 4810 Lapalco Blvd, Marrero, LA 70072-4382 | 2014-08-12 |
| 1750790903 | Jade Santiago | Pharmacist | 4810 Lapalco Blvd, Marrero, LA 70072-4382 | 2014-08-12 |
| 1699184853 | Mimi Dang | Pharmacist | 4810 Lapalco Blvd, Marrero, LA 70072-4382 | 2014-08-12 |
| 1518249366 | Thao Mai, LLC | Optometrist | 4810 Lapalco Blvd, Marrero, LA 70072-4382 | 2011-09-16 |
| 1144308370 | Wal-mart Stores Louisiana, LLC | Technician/Technologist | 4810 Lapalco Blvd, Marrero, LA 70072-4326 | 2006-11-02 |
| 1669584397 | Thao Phuong Mai | Optometrist | 4810 Lapalco Blvd, Marrero, LA 70072-4326 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
| 1356829774 | Zachary Allen Runge Kleinpeter | Physician Assistant | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 | 2018-07-30 |
| 1689172611 | Derron White | Specialist | 2324 Barataria Blvd, Marrero, LA 70072 | 2018-01-24 |
| 1477064616 | Bone & Joint, LLC Physical Therapy | Physical Therapist | 4633 Wichers Dr., Marrero, LA 70072 | 2017-10-16 |
| 1477077410 | Darlene Jenkins | Case Manager/Care Coordinator | 7606 Westbank Expy Ste B, Marrero, LA 70072 | 2017-08-01 |
| 1871017186 | Tyra K Haynes | Non-emergency Medical Transport (VAN) | 536 Westwood Drive, Marrero, LA 70072 | 2017-07-28 |
| 1265961536 | Danika Kayelle Frank | Social Worker | 6189 Boutte St, Marrero, LA 70072 | 2017-06-08 |
| 1528596673 | Monica Cheree Mayberry | Counselor | 931 Westwood Dr., Marrero, LA 70072 | 2017-06-01 |
| 1710419197 | Sharla Black | Counselor | 2069 Paine Drive, Marrero, LA 70072 | 2017-04-03 |
| 1699207043 | Tango Austin | Counselor | 2573 Foliage Drive, Marrero, LA 70072 | 2017-04-03 |
| Find all providers in zip 70072 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225679566 | Michelle Ngoc Anh Tran | Pharmacist | 7417 Etude Dr, Marrero, LA 70072-5992 | 2019-10-07 |
| 1578063699 | Megan Marie Mckay | Pharmacist | 2 Briarfield Dr, Marrero, LA 70072-5063 | 2018-02-15 |
| 1194126672 | Michael Le Nhat Thien Vu | Pharmacist | 1644 Jutland Dr, Marrero, LA 70072-4331 | 2014-09-15 |
| 1629479100 | Jimmy Quach | Pharmacist | 2557 Crestwood Rd, Marrero, LA 70072-5704 | 2014-09-15 |
| 1275892408 | Son Kim | Pharmacist | 1250 Sinskey Dr, Marrero, LA 70072-5997 | 2012-05-08 |
| 1932414133 | Ngoc-phuong Thi Nguyen | Pharmacist | 4535 Westbank Expy, Marrero, LA 70072-3120 | 2010-08-11 |
| 1124332713 | Hong Tham Tran | Pharmacist | 4704 4th St, Marrero, LA 70072-1905 | 2010-08-06 |
| 1174845705 | Craig M Levet | Pharmacist | 1111 Medical Center Blvd Ste 116n, Marrero, LA 70072-3157 | 2010-02-23 |
| 1073759676 | Allan Gerard Lepine | Pharmacist | 5020 Middlebury St, Marrero, LA 70072-5528 | 2009-01-02 |
| 1265652630 | Rosheba Shanee Morgan | Pharmacist | 5969 Lapalco Blvd, Marrero, LA 70072-4833 | 2007-04-26 |
| Find all providers in MARRERO | ||||
Please comment or provide details below to improve the information on JENNIFER THUY PHAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.