DUNG PHAN (NPI# 1295335206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295335206 |
| Entity Type | Individual |
| Full Name | DUNG PHAN |
| Practice Address |
1401 American Pacific Dr Henderson NV 89074-7401 |
| Practice Telephone | 7025642960 |
| Mailing Telephone | 7025642960 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 18089 | NV | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073518627 | Dung Ngoc Phan | Pharmacist | 4776 El Cajon Blvd, Ste 105, San Diego, CA 92115-4521 | 2005-06-20 |
| 1912013780 | Dung My Phan | Family Medicine | 1693 Flanigan Dr, #100, San Jose, CA 95121 | 2006-08-22 |
| Street Address |
1401 AMERICAN PACIFIC DR |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-7401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699792705 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1401 American Pacific Dr, Henderson, NV 89074-7401 | 2006-07-16 |
| 1164022752 | Bhavika P Patel | Pharmacist | 1401 American Pacific Dr, Henderson, NV 89074-7401 | 2020-10-31 |
| 1043818206 | Young Sheen | Pharmacist | 1401 American Pacific Dr, Henderson, NV 89074-7401 | 2020-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| 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 |
|---|---|---|---|---|
| 1477154870 | Brian E Russell | Pharmacist | 1195 Barrett Blvd Unit 2, Henderson, KY 42420-7508 | 2020-11-03 |
| 1770048860 | Akvile Garcia | Pharmacist | 101 E Lake Mead Pkwy Ste 100, Henderson, NV 89015-5532 | 2019-02-04 |
| 1841799228 | Bijal Rakesh Patel | Pharmacist | 303 Queensbridge Way, Henderson, NV 89074-5048 | 2018-02-12 |
| 1871029967 | Clare-lanie Macaraeg | Pharmacist | 824 Sleepy Moon Ave, Henderson, NV 89012-2625 | 2017-05-10 |
| 1124553276 | Roland Werner | Pharmacist | 15 Cactus Garden Dr, Henderson, NV 89014-2339 | 2017-04-26 |
| 1841732013 | Anna Jane Ramirez Bautista | Pharmacist | 1679 Sonoran Bluff Ave, Henderson, NV 89014-2678 | 2016-11-04 |
| 1831541143 | Omid Yadegar | Pharmacist | 2970 Saint Rose Pkwy, Ste 120, Henderson, NV 89052-4449 | 2016-07-11 |
| 1679925994 | Tamara Angeles | Pharmacist | 2970 Saint Rose Pkwy Ste 120, Henderson, NV 89052-4450 | 2016-07-11 |
| 1710349782 | Sally-anne Waihenya | Pharmacist | 2719 Mallard Landing Ave, Henderson, NV 89074-1910 | 2016-03-28 |
| 1205297199 | Michael C Berger | Pharmacist | 7800 Wathen Ln, Henderson, KY 42420-9154 | 2016-03-18 |
| Find all providers in HENDERSON | ||||
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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.