JENNIFER PHAN (NPI# 1114333697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114333697 |
Entity Type | Individual |
Full Name | JENNIFER PHAN |
Credential | R.PH. |
Practice Address |
6848 Landing Dr Grand Prairie TX 75054-6810 |
Practice Telephone | 8174354255 |
Mailing Telephone | 8174354255 |
Enumeration Date | 2014-07-07 |
Last Update Date | 2014-07-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 38459 | TX | 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 |
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 |
1023502713 | Jennifer Thuy Phan | Pharmacist | 4810 Lapalco Blvd, Marrero, LA 70072 | 2018-06-18 |
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 |
6848 LANDING DR |
City | GRAND PRAIRIE |
State | TX |
Zip Code | 75054-6810 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518516798 | Joyce King Mathews | Technician | 6928 Clipper Dr., Grand Prairie, TX 75054 | 2019-09-10 |
1144883117 | Helpmates of America, LLC | Non-emergency Medical Transport (VAN) | 7315 Vienta Point, Grand Prairie, TX 75054 | 2019-04-16 |
1962931220 | Ai Community Services LLC | Preferred Provider Organization | 6928 Shoreway Dr, Grand Prairie, TX 75054 | 2017-06-08 |
1689014110 | Skilled Speech Pathology Services, Pllc | Home Health | 7240 Cana, Grand Prairie, TX 75054 | 2013-06-28 |
1649538661 | Surety Care Home Health Services Inc | Home Health | 3032 S Camino Lagos, Grand Prairie, TX 75054 | 2012-04-27 |
1295986578 | Bcp Health Care Incorporated | Nursing Care | 3008 Nadar, Grand Prairie, TX 75054 | 2008-10-06 |
1275656274 | Alexus Dutchess Medical Consulant | Durable Medical Equipment & Medical Supplies | 3167 Gudaloupe, Grand Prairie, TX 75054 | 2007-04-06 |
1922431022 | Urgent Plus Care LLC | Internal Medicine | 7227 Cana, Grand Prairie, TX 75054 | 2013-08-13 |
1578903084 | Katrina Taylor- Green | Speech-Language Pathologist | 7240 Cana, Grand Prairie, TX 75054 | 2013-06-28 |
1275822009 | Homage Healthcare Services, Inc | Home Health | 3008 Nadar, Grand Prairie, TX 75054 | 2011-04-01 |
Find all providers in zip 75054 |
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 |
---|---|---|---|---|
1265032841 | Kevin Mukasa | Pharmacist | 2225 W I 20, Grand Prairie, TX 75052-3926 | 2020-10-31 |
1225648603 | Kristie Jones | Pharmacist | 2325 W I 20, Grand Prairie, TX 75052-3927 | 2020-07-31 |
1992313043 | Minh Ngo | Pharmacist | 3128 Paseo, Grand Prairie, TX 75054-6833 | 2020-07-15 |
1609497569 | Christopher Cotton | Pharmacist | 2859 Caminata, Grand Prairie, TX 75054-6757 | 2020-05-01 |
1568092542 | Adiseshu Gelli | Pharmacist | 721 W Tarrant Rd Ste 110, Grand Prairie, TX 75050-3445 | 2020-01-18 |
1811534993 | Ngoc Quang Dinh | Pharmacist | 2827 Terrosa Rd, Grand Prairie, TX 75054-0075 | 2019-12-07 |
1871087460 | Cam Chau Huynh | Pharmacist | 2615 W Pioneer Pwky Suite 139, Grand Prairie, TX 75051 | 2018-06-18 |
1386158301 | Andrea Collier Johnson | Pharmacist | 5772 Jillian Way, Grand Prairie, TX 75052-0418 | 2017-11-29 |
1629581020 | Olubolanle Afolayan | Pharmacist | 1960 W Tarrant Rd, Grand Prairie, TX 75050-7612 | 2017-11-08 |
1518409622 | Quyen Nguyen | Pharmacist | 4935 Soaring Eagle Ct, Grand Prairie, TX 75052-3028 | 2016-11-07 |
Find all providers in GRAND PRAIRIE |
City | GRAND PRAIRIE |
Zip Code | 75054 |
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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.