STEPHANIE PHAN (NPI# 1508216565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508216565 |
| Entity Type | Individual |
| Full Name | STEPHANIE PHAN |
| Practice Address |
7850 Telegraph Rd Ventura CA 93004-1503 |
| Practice Telephone | 8056715122 |
| Practice Fax Number | 8056715127 |
| Mailing Telephone | 8056715122 |
| Mailing Fax Number | 8056715127 |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 73821 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114579687 | Stephanie Phan | Student in an Organized Health Care Education/Training Program | 1001 Potrero Ave Rm 7g9, San Francisco, CA 94110-3518 | 2019-07-15 |
| 1801418215 | Stephanie Phan | Pharmacist | 1440 Studemont St, Houston, TX 77007-3820 | 2020-05-08 |
| 1639664717 | Stephanie Phan | Student in an Organized Health Care Education/Training Program | 92 W Miller St, Orlando, FL 32806-2032 | 2018-06-29 |
| 1346786282 | Stephanie Phan | Pharmacist | 417 W 3rd Ave, Albany, GA 31701-1943 | 2017-01-17 |
| 1992008999 | Stephanie T Phan | Internal Medicine | 1520 San Pablo St, Suite 1000, Los Angeles, CA 90033-5310 | 2010-12-13 |
| 1902987993 | Stephanie T Phan | Ophthalmology | 1300 116th Ave Ne, Bellevue, WA 98004 | 2006-10-18 |
| Street Address |
7850 TELEGRAPH RD |
| City | VENTURA |
| State | CA |
| Zip Code | 93004-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376586156 | Longs Drug Stores California LLC | Pharmacy | 7850 Telegraph Rd, Ventura, CA 93004-1503 | 2006-06-13 |
| 1891269064 | Caleb Aaron League | Pharmacist | 7850 Telegraph Rd, Ventura, CA 93004-1503 | 2019-01-21 |
| 1144756149 | Michael Buddy Shima | Pharmacist | 7850 Telegraph Rd, Ventura, CA 93004-1503 | 2017-05-11 |
| 1043746985 | Morgan Beede | Pharmacist | 7850 Telegraph Rd, Ventura, CA 93004-1503 | 2017-05-11 |
| 1649706383 | Michael Allen Neasham | Pharmacist | 7850 Telegraph Rd, Ventura, CA 93004-1503 | 2017-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154877181 | April Lacanilao | Licensed Vocational Nurse | 8415 Newtown St., Ventura, CA 93004 | 2016-08-30 |
| 1447633003 | Fernando Maldonado IIi | Pharmacist | 9308-b Telephone Rd, Ventura, CA 93004 | 2015-07-01 |
| 1669761532 | Ted Wrablik | Counselor | 9050 Feather Street, Ventura, CA 93004 | 2011-03-31 |
| 1659689446 | Kathleen Anne Highly | Psychologist | Clinicas Del Camino Real, Incorporated, 200 S. Wells Rd., Suite 200, Ventura, CA 93004 | 2010-09-15 |
| 1518283191 | Arturo Alamillo Vargas | Social Worker | 200 S, Wells Rd., Suite 200, Ventura, CA 93004 | 2010-04-08 |
| 1891929949 | Roxanne Gaggs | Occupational Therapist | 2387 Portola Drive, Suite A, Ventura, CA 93004 | 2009-05-05 |
| 1760623599 | Colleen Copelan, M.d. Inc | Psychiatry & Neurology | 970 South Petit Ave., Suite A, Ventura, CA 93004 | 2009-03-06 |
| 1770720401 | Maria G. Hernandez | Social Worker | 200 S. Wells Rd., Suite 250, Clinicas Del Camino Real, Incorporate, Ventura, CA 93004 | 2009-01-16 |
| 1275725376 | Diane M. Sanchez | Music Therapist | 200 S. Wells Rd., Suite 200, Ventura, CA 93004 | 2007-08-13 |
| 1487863643 | Richard Dale Story | Pharmacist | 681 Topeka Ave, Ventura, CA 93004 | 2007-05-22 |
| Find all providers in zip 93004 | ||||
| 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 |
|---|---|---|---|---|
| 1447633003 | Fernando Maldonado IIi | Pharmacist | 9308-b Telephone Rd, Ventura, CA 93004 | 2015-07-01 |
| 1770964686 | Lori Dibenedetto | Pharmacist | 1073 N Ventura Ave, 203, Ventura, CA 93001-4700 | 2015-06-16 |
| 1275929044 | Jill Bell | Pharmacist | 4601 Campus St, Ventura, CA 93003-3821 | 2015-04-08 |
| 1871996041 | Isaias Isaac | Pharmacist | 2005 Washington Dr, Ventura, CA 93003-7436 | 2014-10-02 |
| 1619238755 | Ryan William Russell | Pharmacist | 5574 Everglades St Ste A, Ventura, CA 93003-6542 | 2012-06-05 |
| 1346535374 | Maryam Ahmadpour | Pharmacist | 641 Mills Road, Ventura, CA 93003 | 2011-06-17 |
| 1558656587 | Andrea Vazquez Cornelio | Pharmacist | 200 South Wells Rd., Ventura, CA 93007 | 2011-06-17 |
| 1881905990 | Marlein Iskandar | Pharmacist | 2738 E. Thompson Blvd., Ventura, CA 93003 | 2010-06-24 |
| 1174763510 | Kyung Sook Chang | Pharmacist | 3700 Dean Dr Unit 1008, Ventura, CA 93003-3272 | 2009-02-25 |
| 1528218096 | Ellen Ann Soto | Pharmacist | 2738 E Thompson Blvd, Ventura, CA 93003-2719 | 2008-09-22 |
| Find all providers in VENTURA | ||||
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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.