DR. NGOC-THAO THI PHAN (NPI# 1245778554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245778554 |
| Entity Type | Individual |
| Full Name | DR. NGOC-THAO THI PHAN |
| Credential | PHARMD |
| Practice Address |
2121 Douglas St Apt 707 Westbrook Tower Apt 707 Omaha NE 68102-1244 |
| Practice Telephone | 4027305623 |
| Mailing Telephone | 4027305623 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
13680 | NE | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
13680 | NE | Pharmacy Service Providers |
| N | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
13680 | NE | Pharmacy Service Providers |
| Street Address |
2121 DOUGLAS ST APT 707 WESTBROOK TOWER APT 707 |
| City | OMAHA |
| State | NE |
| Zip Code | 68102-1244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518580042 | Niranzena Panneer Selvam | Dentist | 2109 Cuming Street, Omaha, NE 68102 | 2020-05-19 |
| 1912312323 | Stephani Jo Dale | Dentist | 2901 Cuming Street, Omaha, NE 68102 | 2014-06-24 |
| 1578736864 | Nebraska Urban Indian Health Coalition | Community/Behavioral Health | 2240 Landon Court, Omaha, NE 68102 | 2008-04-08 |
| 1609939826 | Alana Louayne Decker | Registered Nurse | 1490 No 16th St, Omaha, NE 68102 | 2006-12-18 |
| 1831203645 | Nicholas Joseph Battafarano | Psychiatry & Neurology | 1490 N 16th St, Omaha, NE 68102 | 2006-08-18 |
| 1831198902 | Lori Ann Buckley | Occupational Therapist | 1219 Leavenworth St, Omaha, NE 68102 | 2005-07-20 |
| 1760019129 | Catherine Nicole Cloetta | Student in an Organized Health Care Education/Training Program | Creighton University School of Dentistry, 2109 Cuming St., Omaha, NE 68102 | 2020-03-25 |
| 1841793189 | Molly Ann Trevathan | Specialist/Technologist | 701 Florence Blvd, Omaha, NE 68102 | 2018-03-13 |
| 1265942106 | Ashlyn Madden Eisenbrown | Acupuncturist | 1219 Leavenworth St, Omaha, NE 68102 | 2017-10-05 |
| 1417342676 | Natural Therapy LLC | Home Health | 1219 Leavenworth St, Omaha, NE 68102 | 2015-04-03 |
| Find all providers in zip 68102 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871782938 | Jennifer Ann Tilleman | Pharmacist | 6115 N 78th Ave, Omaha, NE 68134-2129 | 2007-10-15 |
| 1528266012 | Michael Monaghan | Pharmacist | Creighton University Medical Center School of Pharmacy, 2500 California Plaza, Omaha, NE 68178-0001 | 2007-07-05 |
| 1609086438 | Gary L Cochran | Pharmacist | 986045 Nebraska Medical Ctr, Omaha, NE 68198-6045 | 2007-05-23 |
| 1366501058 | Mark A Malesker | Pharmacist | Creighton University Medical Ctr, 2500 California Plaza, Omaha, NE 68178-0001 | 2006-12-08 |
| 1225047343 | Carla R Rubingh | Pharmacist | 401 Woolworth Ave, Omaha, NE 68105 | 2006-08-07 |
| 1528019007 | Barbara L Hougas | Pharmacist | 16869 Audrey St, Omaha, NE 68136-3178 | 2006-05-12 |
| 1558349449 | Jennifer Anne Cowley | Pharmacist | 989200 Nebraska Medical Ctr, Omaha, NE 68198-9200 | 2006-01-03 |
| 1073598041 | Stephanie Rice Maciejewski | Pharmacist | 3006 Webster St, Omaha, NE 68131-2027 | 2005-12-13 |
| 1770567760 | Daniel Earl Hilleman | Pharmacist | 3006 Webster Street, Creighton University Cardiac Center, Omaha, NE 68131 | 2005-12-02 |
| 1538156757 | Kenneth L Saunders | Pharmacist | 2631 N 157th St, Omaha, NE 68116-2029 | 2005-10-03 |
| Find all providers in OMAHA | ||||
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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.