HUYEN L PHAN (NPI# 1295087880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295087880 |
| Entity Type | Individual |
| Full Name | HUYEN L PHAN |
| Practice Address |
1400 Fitzgerald Dr Pinole CA 94564-2250 |
| Mailing Address |
249 S 20th St San Jose CA 95116-2714 |
| Practice Telephone | 5102229281 |
| Mailing Telephone | 4088583551 |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 68262 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790058881 | Huyen Thi Phan | Pharmacist | 17404 Meridian E, Puyallup, WA 98375-6234 | 2012-02-20 |
| 1619137031 | Huyen Cecile Phan | Internal Medicine | 25 N Winfield Road, Winfield, IL 60190 | 2008-06-10 |
| 1487855672 | Huyen Phan | Pharmacist | 11777 Katy Fwy Ste 270, Houston, TX 77079-1784 | 2007-05-29 |
| Street Address |
1400 FITZGERALD DR |
| City | PINOLE |
| State | CA |
| Zip Code | 94564-2250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184647489 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1400 Fitzgerald Dr, Pinole, CA 94564-2250 | 2006-07-26 |
| 1063050490 | Jung Jung Shang | Pharmacist | 1400 Fitzgerald Dr, Pinole, CA 94564-2250 | 2019-12-16 |
| 1467943217 | Alison Michele Matias | Pharmacist | 1400 Fitzgerald Dr, Pinole, CA 94564-2250 | 2018-05-27 |
| 1689047482 | Alaina Gong | Pharmacist | 1400 Fitzgerald Dr, Pinole, CA 94564-2250 | 2015-11-03 |
| 1316234008 | Maria Isabel Martinez | Pharmacist | 1400 Fitzgerald Dr, T-0737, Pinole, CA 94564-2250 | 2011-07-01 |
| 1972623817 | James H Woo | Pharmacist | 1400 Fitzgerald Dr, Pinole, CA 94564-2250 | 2007-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831664986 | Bay Area Surgical Associates, LLC | Clinic/Center | 1599 Tara Hills Drive, Pinole, CA 94564 | 2018-10-04 |
| 1285008987 | Priya Patel Dental Corporation | Dentist | 1208 Fitzgerald Dri, Pinole, CA 94564 | 2015-11-18 |
| 1356753693 | Lauren Wesley Strelitz | Family Medicine | 2160 Appian Way Ste 100, Pinole, CA 94564 | 2014-05-21 |
| 1508172305 | Feriel El Ghaoui Dds Inc. | Dentist | 1500 Tara Hills Dr., #104, Pinole, CA 94564 | 2010-08-31 |
| 1831328236 | Saket R Shah | Family Medicine | 2160 Appian Way, Suite 200, Pinole, CA 94564 | 2009-07-07 |
| 1184850687 | Pauline S Lim | Dentist | 2000 Appian Way Ste 101, Pinole, CA 94564 | 2009-06-10 |
| 1437304482 | Lori Beth Goldman | Marriage & Family Therapist | 668 Quinan Street, Pinole, CA 94564 | 2008-11-18 |
| 1306026505 | Miriam E. Dunham | Family Medicine | 1301 Pinole Valley Road, Pinole, CA 94564 | 2007-11-06 |
| 1871783308 | East Bay Ophthalmology, Inc. | Ophthalmology | 1700 San Pablo Avenue, Suite A, Pinole, CA 94564 | 2007-07-31 |
| 1659401057 | Gregory Steven Meyers | Dentist | 1420 Tara Hills Drive, Suite C, Pinole, CA 94564 | 2007-03-06 |
| Find all providers in zip 94564 | ||||
| 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 |
|---|---|---|---|---|
| 1851826010 | Louisa Wan | Pharmacist | 1401 Tara Hills Dr, Pinole, CA 94564-2518 | 2017-04-25 |
| 1164886271 | Agnes Liang Curtner | Pharmacist | 111 Dursey Dr, Pinole, CA 94564-2663 | 2016-04-06 |
| 1174892855 | Son Hoang Dinh | Pharmacist | 2193 Owens Ct, Pinole, CA 94564-1837 | 2011-12-24 |
| 1104433259 | Patrick Li | Pharmacist | 1617 Canyon Dr, Pinole, CA 94564-2151 | 2020-09-23 |
| 1063050490 | Jung Jung Shang | Pharmacist | 1400 Fitzgerald Dr, Pinole, CA 94564-2250 | 2019-12-16 |
| 1326695842 | Nasra Abdulkadir | Pharmacist | 1617 Canyon Dr, Pinole, CA 94564-2151 | 2019-08-20 |
| 1346800265 | Donna Sison Day | Pharmacist | 1530 Fitzgerald Dr, Pinole, CA 94564-2229 | 2019-06-13 |
| 1508421546 | Carina Obrien | Pharmacist | 1617 Canyon Dr, Pinole, CA 94564-2151 | 2019-05-06 |
| 1730673484 | John Wei | Pharmacist | 1530 Fitzgerald Dr, Pinole, CA 94564-2229 | 2018-06-17 |
| 1467943217 | Alison Michele Matias | Pharmacist | 1400 Fitzgerald Dr, Pinole, CA 94564-2250 | 2018-05-27 |
| Find all providers in PINOLE | ||||
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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.