MINH HA THI PHAN (NPI# 1922550847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922550847 |
| Entity Type | Individual |
| Full Name | MINH HA THI PHAN |
| Practice Address |
4048 Ne Highway 101 Lincoln City OR 97367-5069 |
| Practice Telephone | 5419945670 |
| Mailing Telephone | 5419945670 |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0015650 | OR | Pharmacy Service Providers |
| Street Address |
4048 NE HIGHWAY 101 |
| City | LINCOLN CITY |
| State | OR |
| Zip Code | 97367-5069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023065190 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4048 Ne Highway 101, Lincoln City, OR 97367-5069 | 2006-05-27 |
| 1881204659 | Lucas Thompson | Pharmacist | 4048 Ne Highway 101, Lincoln City, OR 97367-5069 | 2020-08-05 |
| 1184088684 | Robin Mays | Pharmacist | 4048 Ne Highway 101, Lincoln City, OR 97367-5069 | 2016-04-11 |
| 1952742082 | Sophia Ndeanasia Maeda | Pharmacist | 4048 Ne Highway 101, Lincoln City, OR 97367-5069 | 2013-07-17 |
| 1780838037 | Teressa Dyer | Pharmacist | 4048 Ne Highway 101, Lincoln City, OR 97367-5069 | 2008-11-13 |
| 1043464407 | Dean W Mickelson | Pharmacist | 4048 Ne Highway 101, Lincoln City, OR 97367-5069 | 2008-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881256121 | Amanda Suzanne Cherryholmes | Peer Specialist | 1206 Se 48th Place, Montgomery, Lincoln City, OR 97367 | 2019-07-08 |
| 1982198719 | Lakeside Family Dentistry | Dentist | 3173 Ne West Devils Lake Rd., Lincoln City, OR 97367 | 2018-06-15 |
| 1891282117 | Mark J Lee | Marriage & Family Therapist | 412 Southwest Highway 101, Lincoln City, OR 97367 | 2018-04-23 |
| 1508130196 | Michelle Marie Becker | Pharmacist | 1030 Se Oar Ave Bi-mart, Lincoln City, OR 97367 | 2012-02-29 |
| 1457651465 | Laurene Norelle Alcocer | Pharmacist | 4048 Ne Hwy 101, Lincoln City, OR 97367 | 2010-10-25 |
| 1518106228 | Estate of Kevin L. Chancellor | Dentist | 3173 Ne West Devils Lake Rd, Lincoln City, OR 97367 | 2009-02-19 |
| 1346403656 | Lincoln City Pharmacy & Gifts | Pharmacy | 1800 Se Hwy 101, Suite C, Lincoln City, OR 97367 | 2008-07-07 |
| 1841487139 | Assisted Living Concepts Inc | Assisted Living Facility | 1400 Se 19th, Lincoln City, OR 97367 | 2007-10-01 |
| 1376741074 | Frank Wesley Nettleship | Dentist | 9101 Keys Place, Lincoln City, OR 97367 | 2007-07-05 |
| 1306043989 | Julie Anne Bass | Case Manager/Care Coordinator | 4402 Devils Lake Blvd #2, Lincoln City, OR 97367 | 2007-06-28 |
| Find all providers in zip 97367 | ||||
| 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 |
|---|---|---|---|---|
| 1033589403 | Kay Riedl | Pharmacist | 4048 Nw Highway 101, Lincoln City, OR 97367-5069 | 2015-09-29 |
| 1508130196 | Michelle Marie Becker | Pharmacist | 1030 Se Oar Ave Bi-mart, Lincoln City, OR 97367 | 2012-02-29 |
| 1457651465 | Laurene Norelle Alcocer | Pharmacist | 4048 Ne Hwy 101, Lincoln City, OR 97367 | 2010-10-25 |
| 1538281027 | Jin S Lee | Pharmacist | 4041 Nw Logan Rd, Lincoln City, OR 97367-5054 | 2007-04-04 |
| 1235744699 | Austin Chanthakhoun | Pharmacist | 4101 Nw Logan Rd, Lincoln City, OR 97367-5056 | 2020-09-12 |
| 1619447471 | Phillip Rothschild | Pharmacist | 4101 Nw Logan Rd, Lincoln City, OR 97367-5056 | 2018-12-04 |
| 1477038016 | Jenifer Schmottlach Reuter | Pharmacist | 4041 Nw Logan Rd, Lincoln City, OR 97367-5054 | 2018-09-29 |
| 1386158459 | Blane A Yimesgen | Pharmacist | 4041 Nw Logan Rd, Lincoln City, OR 97367-5054 | 2017-11-27 |
| 1992214662 | Harrison Wood | Pharmacist | 4101 Nw Logan Rd, Lincoln City, OR 97367-5056 | 2017-09-26 |
| 1184088684 | Robin Mays | Pharmacist | 4048 Ne Highway 101, Lincoln City, OR 97367-5069 | 2016-04-11 |
| Find all providers in LINCOLN CITY | ||||
| City | LINCOLN CITY |
| Zip Code | 97367 |
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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.