JULIE PHAN (NPI# 1063946531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063946531 |
| Entity Type | Individual |
| Full Name | JULIE PHAN |
| Credential | PHARMD |
| Practice Address |
4100 Redwood Rd Oakland CA 94619-2363 |
| Practice Telephone | 5105310602 |
| Mailing Telephone | 5105310602 |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 75282 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750804761 | Julie Phan | Pharmacist | 19744 Cameron Ave, Covina, CA 91724-3933 | 2017-07-21 |
| 1740804004 | Julie Phan | Student in an Organized Health Care Education/Training Program | 930 Commonwealth Ave, Boston, MA 02215-1274 | 2020-06-02 |
| 1972022275 | Julie Phan | Pharmacist | 1818 S 300 W, Salt Lake City, UT 84115-1805 | 2017-09-18 |
| 1487092813 | Julie Phan | Optometrist | 1055 Harriman Pl, San Bernardino, CA 92408-4203 | 2013-06-07 |
| 1467749614 | Julie Ann Phan | Emergency Medicine | 2315 Stockton Blvd., Pssb 2100, Sacramento, CA 95817 | 2011-07-07 |
| Street Address |
4100 REDWOOD RD |
| City | OAKLAND |
| State | CA |
| Zip Code | 94619-2363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356384523 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 4100 Redwood Rd, Oakland, CA 94619-2363 | 2006-06-14 |
| 1306321716 | Christine Jenny Lo | Pharmacist | 4100 Redwood Rd, Oakland, CA 94619-2363 | 2018-10-02 |
| 1639629280 | Lauren Ruiz | Nurse Practitioner | 4100 Redwood Rd, #328, Oakland, CA 94619-2363 | 2016-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306365390 | Jon Gerard Murphy | Registered Nurse | Merritt College Student Health Services, 12500 Campus Drive, Oakland, CA 94619 | 2017-09-12 |
| 1992161947 | Virginia Stout Downing | Dental Hygienist | 5707 Redwood Road, #19, Oakland, CA 94619 | 2016-01-06 |
| 1770900045 | Amy Klapper | Counselor | 4452 Davenport Aven, Oakland, CA 94619 | 2014-03-25 |
| 1922395797 | Lawrence W Bryer | Psychiatry & Neurology | 5131 Parkridge Dr, Oakland, CA 94619 | 2011-06-30 |
| 1255403168 | Michelle Denise Hooker | Social Worker | 2369 84th Avenue, Oakland, CA 94619 | 2006-11-15 |
| 1447338512 | William H. Birdsong Iv | Emergency Medicine | 661 Via Rialto, Oakland, CA 94619 | 2006-11-02 |
| 1861570814 | Zell Nathanson | Speech-Language Pathologist | 5424 Fernhoff Rd, Oakland, CA 94619 | 2006-11-01 |
| 1902439623 | Miranda Claggette | Counselor | 3906 Loma Vista Ave, Oakland, CA 94619 | 2020-02-20 |
| 1518443282 | Gabriela Ivanna Vargas | Counselor | 3695 High St, Oakland, CA 94619 | 2018-07-16 |
| 1275130148 | Remi Drew | Massage Therapist | 3630 Penniman Ave, Oakland, CA 94619-1116 | 2020-10-05 |
| Find all providers in zip 94619 | ||||
| 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 |
|---|---|---|---|---|
| 1164020020 | Daniel Ninh | Pharmacist | 3093 Broadway Unit 523, Oakland, CA 94611-5894 | 2020-10-13 |
| 1992303226 | Sonia Maria Sui Ying Poon Harris | Pharmacist | 388 9th Street Ste 108, Oakland, CA 94607 | 2020-10-09 |
| 1780291880 | Jennifer He | Pharmacist | 747 52nd St Ste 125, Oakland, CA 94609-1809 | 2020-09-23 |
| 1447865944 | Nate Sandve | Pharmacist | 3226 Fruitvale Ave, Oakland, CA 94602-2115 | 2020-09-11 |
| 1356950869 | Loi Pham | Pharmacist | 600 International Blvd # 105, Oakland, CA 94606-2993 | 2020-07-30 |
| 1548878325 | Margaret P So | Pharmacist | 4379 Terrabella Pl, Oakland, CA 94619-3161 | 2020-07-17 |
| 1548829062 | Michael Nishioka | Pharmacist | 3236 Lakeshore Ave, Oakland, CA 94610-2720 | 2019-06-08 |
| 1124598339 | Lesly-anne Samedy | Pharmacist | 1000 43rd St Apt 25, Oakland, CA 94608-3789 | 2018-11-29 |
| 1235617788 | Cathy Yan-fang Liang | Pharmacist | 2877 Macarthur Blvd, Oakland, CA 94602-3229 | 2018-08-06 |
| 1194201038 | Mudashiru Tahir | Pharmacist | 950 66th Ave Apt 108, Oakland, CA 94621-3188 | 2018-07-13 |
| Find all providers in OAKLAND | ||||
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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.