DR. VICTOR PHAN (NPI# 1457872293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457872293 |
| Entity Type | Individual |
| Full Name | DR. VICTOR PHAN |
| Credential | PHARMD |
| Practice Address |
9700 W Taron Dr Elk Grove CA 95757 |
| Mailing Address |
9700 W Taron Dr Elk Grove CA 95757-8145 |
| Practice Telephone | 9163783494 |
| Mailing Telephone | 9163783494 |
| Enumeration Date | 2017-07-02 |
| Last Update Date | 2018-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH79110 | CA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | RP451425 | PA | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1640 Bethlehem Pike, Flourtown, PA 190312026 | 2158367201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174500979 | Victor Van Phan | Orthopaedic Surgery | 11920 Astoria Blvd, Suite 390, Houston, TX 77089-6134 | 2005-12-22 |
| Street Address |
9700 W TARON DR |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639165368 | Jean-claude Lucien Veille | Obstetrics & Gynecology | 9700 W Taron Dr, Elk Grove, CA 95757-8145 | 2005-09-27 |
| 1760080428 | Shereen Zada | Pharmacist | 9700 W Taron Dr, Elk Grove, CA 95757-8145 | 2020-10-15 |
| 1326676339 | Saif Shaikh | Student in an Organized Health Care Education/Training Program | 9700 W Taron Dr, Elk Grove, CA 95757-8145 | 2020-03-27 |
| 1023643996 | Daniella Schochet | Student in an Organized Health Care Education/Training Program | 9700 W Taron Dr, Elk Grove, CA 95757-8145 | 2020-03-11 |
| 1295360220 | Makena J Owen | Student in an Organized Health Care Education/Training Program | 9700 W Taron Dr, Elk Grove, CA 95757-8145 | 2020-03-10 |
| 1740655802 | Ryan Enderle | Pharmacist | 9700 W Taron Dr, Elk Grove, CA 95757-8145 | 2015-12-01 |
| 1144614496 | Velliyur Viswesh | Pharmacist | 9700 W Taron Dr, Elk Grove, CA 95757-8145 | 2015-03-25 |
| 1952794992 | California Northstate University, College of Medicine | Clinic/Center | 9700 W Taron Dr, Elk Grove, CA 95757-8145 | 2015-03-16 |
| 1942388673 | For-shing Lui | Psychiatry & Neurology | 9700 W Taron Dr, Elk Grove, CA 95757-8145 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896600 | Cassandra Jan Cassas I | Behavior Technician | 9832 Tundra Swan, Elk Grove, CA 95757 | 2019-11-22 |
| 1386287027 | Winslow Dds Inc. | Clinic/Center | 10043 Bruceville Road, Unit 160, Elk Grove, CA 95757 | 2019-10-25 |
| 1386206696 | Daniel & Max, LLC | Optometrist | 7150 Elk Grove Blvd, Elk Grove, CA 95757 | 2019-07-08 |
| 1033684865 | Lua Davidson | Behavioral Analyst | 5504 Aspen Grove Ln, Elk Grove, CA 95757 | 2018-10-08 |
| 1821578386 | Michele Elizabeth Amato | Behavior Technician | 8350 Lotz Parkway, Elk Grove, CA 95757 | 2018-08-15 |
| 1043759632 | Costco Wholesale Corporation | Pharmacy | 7400 Elk Grove Boulevard, Elk Grove, CA 95757 | 2017-02-16 |
| 1497207351 | Ron Dancy | Genetic Counselor, MS | 9864 West Taron Dr, Elk Grove, CA 95757 | 2016-10-26 |
| 1780051524 | Jesselle Pablo | Counselor | 10227 Pedra Do Sol Way, Elk Grove, CA 95757 | 2015-08-27 |
| 1851708945 | Yen Ngoc Hoang | Pharmacist | 8257 Hopewell Drive, Elk Grove, CA 95757 | 2014-07-21 |
| 1477742070 | Nkechi Akudo Nzerem-johnson | Pediatrics | Dignity Health Medical Plaza, 8220 Wymark Drive Suite 200, Elk Grove, CA 95757 | 2007-10-18 |
| Find all providers in zip 95757 | ||||
| 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 |
|---|---|---|---|---|
| 1679192371 | Amara Igwe | Pharmacist | 8915 Serravilla Way, Elk Grove, CA 95758-6325 | 2020-04-13 |
| 1346889979 | Zohal Badria Nadi | Pharmacist | 9308 E Lake Dr, Elk Grove, CA 95758-4508 | 2019-12-30 |
| 1750928776 | Khang Duy Nguyen | Pharmacist | 6116 Travo Way, Elk Grove, CA 95757-2801 | 2019-12-09 |
| 1467005835 | Steve Bryant Carter | Pharmacist | 9080 Quail Terrace Way, Elk Grove, CA 95624-4003 | 2019-07-24 |
| 1639636350 | Patricia Shakarian | Pharmacist | 9589 Four Winds Dr Apt 113, Elk Grove, CA 95758-7136 | 2019-02-28 |
| 1518460021 | Mirabelle Claudine Kamdjio Miyo | Pharmacist | 9700 Copper Lake Ct, Elk Grove, CA 95624-4711 | 2018-03-10 |
| 1992206353 | Tanya Gates | Pharmacist | 10311 Pedra Do Sol Way, Elk Grove, CA 95757-3471 | 2018-02-21 |
| 1295244549 | Alyssa Namba | Pharmacist | 9846 Selva Way, Elk Grove, CA 95757-8251 | 2017-09-28 |
| 1336674639 | Steven Quan | Pharmacist | 9046 Laguna Lake Way, Elk Grove, CA 95758-4218 | 2017-04-24 |
| 1104350842 | Trang T Nguyen | Pharmacist | 8878 Garrity Dr, Elk Grove, CA 95624-4073 | 2017-04-19 |
| Find all providers in ELK GROVE | ||||
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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.