KIM PHAN (NPI# 1023587763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023587763 |
| Entity Type | Individual |
| Full Name | KIM PHAN |
| Credential | PHARMD |
| Practice Address |
425 Lowell Ave Haverhill MA 01832 |
| Mailing Address |
4 9th Ave Haverhill MA 01830-3203 |
| Practice Telephone | 9783731234 |
| Mailing Telephone | 7742534300 |
| Enumeration Date | 2018-11-23 |
| Last Update Date | 2019-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PH238416 | MA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 25038 | MD | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1001 Twin Arch Rd, Mount Airy, MD 217714138 | 3018291499 | |
| 425 Lowell Ave, Haverhill, MA 01832 | 9783731234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326687633 | Kim Phan | Behavior Technician | 21600 Oxnard St Ste 1030, Woodland Hills, CA 91367-5085 | 2020-01-03 |
| 1851787394 | Kim Phan | Dental Hygienist | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2015-04-11 |
| 1295001592 | Kim Minh Phan | Internal Medicine | 1180 N Indian Canyon Dr Ste E218, Palm Springs, CA 92262-4885 | 2012-03-30 |
| 1750665907 | Kim Phan | Pharmacist | 20711 Bothell Everett Hwy, Bothell, WA 98012-7139 | 2011-10-06 |
| 1811172240 | Kim T Phan | Case Manager/Care Coordinator | 320 W Temple St, 9th Floor-hall of Records, Los Angeles, CA 90012-3208 | 2008-01-03 |
| 1245327071 | Kim Nguyen Phan | Psychologist | 12966 Euclid St, Suite 515, Garden Grove, CA 92840-5200 | 2006-10-05 |
| 1023126083 | Kim Phan | Pharmacist | 1100 9th Ave, Seattle, WA 98101-2756 | 2006-08-29 |
| Street Address |
425 LOWELL AVE |
| City | HAVERHILL |
| State | MA |
| Zip Code | 01832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245330687 | Cvs Pharmacy Inc | Pharmacy | 425 Lowell Ave, Haverhill, MA 01832-3683 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154887503 | Emely D Valenzuela Toribio | Behavioral Analyst | 116 Klondike Ave Apt 104, Lawrence, Haverhill, MA 01832 | 2019-02-11 |
| 1184194821 | Janet De Leon | Social Worker | 78 Perkins Ct, Haverhill, MA 01832 | 2018-11-26 |
| 1073005765 | Krista Boucher | Behavioral Analyst | 62 Wingate St Apt 3b, Haverhill, MA 01832 | 2018-05-30 |
| 1619354172 | Hearts To Home | Home Health | 72 Broadway #1, Haverhill, MA 01832 | 2015-05-04 |
| 1316238363 | Shaine Anthony Alvaranga | Counselor | 25 Victor St, Apt 1, Haverhill, MA 01832 | 2011-04-26 |
| 1851487979 | Stacey Bogue Foster | Social Worker | 266 Waverly Road, North Andover, MA 01832 | 2006-10-05 |
| 1164896015 | Amy Burkland | Counselor | 230 Liberty St, Haverhill, MA 01832-1034 | 2015-11-16 |
| 1669919098 | Tyler Woelfel | Specialist/Technologist | 7 White Oak Cir, Haverhill, MA 01832-1075 | 2017-01-24 |
| 1831229541 | Susan Margaret Lawlor | Registered Nurse | 6 Danielle Dr, Haverhill, MA 01832-1130 | 2007-03-06 |
| 1568824969 | Rebecca Bibeau Lmhc | Counselor | 925 N Broadway, Haverhill, MA 01832-1137 | 2016-03-24 |
| Find all providers in zip 01832 | ||||
| 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 |
|---|---|---|---|---|
| 1558646612 | Shaborra Harp | Pharmacist | 1010 N Military Trl, Haverhill, FL 33409-6011 | 2011-10-19 |
| 1215155858 | Cheryl Horwath Rashid | Pharmacist | 35 Avco Rd, Haverhill, MA 01835 | 2007-04-20 |
| 1750382180 | Gregory Frank Sanguedolce | Pharmacist | 10 Fasulo Ct, Haverhill, MA 01832-1976 | 2005-08-09 |
| 1861006256 | Tu Pham | Pharmacist | 310 Main St, Haverhill, MA 01830-5045 | 2020-09-02 |
| 1609488980 | Kelechi Chukwu | Pharmacist | 310 Main St, Haverhill, MA 01830-5045 | 2020-08-19 |
| 1861018723 | Katrina Vigeant | Pharmacist | 35 Computer Dr, Haverhill, MA 01832-1236 | 2020-06-17 |
| 1174077242 | Leigh Collins | Pharmacist | 35 Computer Dr, Haverhill, MA 01832-1236 | 2016-08-06 |
| 1821474883 | Benjamin Otero-salvatella Jr. | Pharmacist | 1010 N Military Trl, Haverhill, FL 33409-6011 | 2015-07-31 |
| 1881093011 | Jason Mathai | Pharmacist | 35 Computer Dr, Haverhill, MA 01832-1236 | 2014-08-13 |
| 1962835066 | Stephen Mark Tuccellli Jr. | Pharmacist | 2 Water St, Haverhill, MA 01830-6229 | 2013-08-13 |
| Find all providers in HAVERHILL | ||||
Please comment or provide details below to improve the information on KIM 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.