MRS. THANHVAN T PHAN (NPI# 1790097707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790097707 |
| Entity Type | Individual |
| Full Name | MRS. THANHVAN T PHAN |
| Practice Address |
47 Memorial Pkwy Randolph MA 02368-4505 |
| Mailing Address |
38 Margaret Rd Randolph MA 02368-3997 |
| Practice Telephone | 7819611246 |
| Mailing Telephone | 6176696124 |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2010-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH24713 | MA | Pharmacy Service Providers |
| Street Address |
47 MEMORIAL PKWY |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368-4505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184941908 | Son Tran | Pharmacist | 47 Memorial Pkwy, Randolph, MA 02368-4505 | 2010-05-03 |
| 1548785694 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 47 Memorial Pkwy, Randolph, MA 02368-4505 | 2017-08-10 |
| 1306293378 | Beverly Belisle | Pharmacist | 47 Memorial Pkwy, Randolph, MA 02368-4505 | 2016-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
| 1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
| Find all providers in zip 02368 | ||||
| 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 |
|---|---|---|---|---|
| 1417596412 | Anh Tho T Pham | Pharmacist | 40 Teed Dr, Randolph, MA 02368-4202 | 2019-12-23 |
| 1962976357 | Diana Krannich | Pharmacist | 1247 Sussex Tpke Ste 120, Randolph, NJ 07869-2943 | 2019-01-18 |
| 1376059303 | Angela Kathleen Browne | Pharmacist | 1504 Sussex Tpke, Randolph, NJ 07869-1827 | 2017-12-28 |
| 1033669437 | Dharmendra Patel | Pharmacist | 6 Poplar Ct, Randolph, NJ 07869-2429 | 2016-10-10 |
| 1669844981 | Kaitlin White | Pharmacist | 151 Vermont Route 12 S, Randolph, VT 05060-9237 | 2015-10-26 |
| 1043682446 | Christopher Hazuda | Pharmacist | 151 Vt Route 12 S, Randolph, VT 05060-9237 | 2015-10-24 |
| 1376929349 | Rikesh Patel | Pharmacist | 14 Spruce Tree Ln, Randolph, NJ 07869-3731 | 2015-07-31 |
| 1174918775 | Kenneth Awasung | Pharmacist | 26 Howard St, Randolph, MA 02368-4912 | 2015-03-31 |
| 1952649634 | Linda M Witzal | Pharmacist | 379 Dover Chester Rd, Randolph, NJ 07869-3910 | 2013-01-30 |
| 1497003099 | Courtney Austin | Pharmacist | 12 North Main St., Randolph, VT 05060 | 2012-08-29 |
| Find all providers in RANDOLPH | ||||
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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.