FELISA T PHAN (NPI# 1326346859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326346859 |
| Entity Type | Individual |
| Full Name | FELISA T PHAN |
| Practice Address |
2201 Senter Rd San Jose CA 95112-2627 |
| Practice Telephone | 4089472055 |
| Practice Fax Number | 4089470178 |
| Mailing Telephone | 4089472055 |
| Mailing Fax Number | 4089470178 |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH50480 | CA | Pharmacy Service Providers |
| Street Address |
2201 SENTER RD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95112-2627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750491361 | Costco Wholesale Corporation | Pharmacy | 2201 Senter Rd, San Jose, CA 95112 | 2006-08-30 |
| 1447643093 | Costco Wholesale Corporation | Hearing Aid Equipment | 2201 Senter Rd, San Jose, CA 95112-2627 | 2015-03-06 |
| 1952791519 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2201 Senter Rd, San Jose, CA 95112-2627 | 2015-02-03 |
| 1164708749 | Inci Aybar | Pharmacist | 2201 Senter Rd, San Jose, CA 95112-2627 | 2011-10-27 |
| 1760545958 | Dan Thanh Dang | Optometrist | 2201 Senter Rd, San Jose, CA 95112-2627 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
| 1538791124 | Vianey Martinez | Social Worker | 290 N Second Street, San Jose, CA 95112 | 2020-02-11 |
| 1083254262 | Tessa Dobrin Zapalac | Behavior Technician | 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 | 2020-01-15 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
| 1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
| 1316588528 | Loralee Crystal Garcia | Technician | 546 N. 3rd Street #7, San Jose, CA 95112 | 2019-09-30 |
| 1306316922 | Patricia Calatraba Swofford | Marriage & Family Therapist | 232 E. Gish Rd., San Jose, CA 95112 | 2018-11-27 |
| 1134606932 | Ana Alicia Castro-banderas | Social Worker | 160 E Virginia St., Suite 100, San Jose, CA 95112 | 2018-07-24 |
| 1275035750 | Theresa Khong | Behavior Technician | 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 | 2018-03-01 |
| Find all providers in zip 95112 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134531726 | Maryana Arsanious | Pharmacist | 1530 Woodmeadow Ct, San Jose, CA 95131-3715 | 2014-05-29 |
| 1285051110 | Vinh Quang Tran | Pharmacist | 3478 Neves Way, San Jose, CA 95127 | 2014-03-28 |
| 1871841452 | Linna Chan | Pharmacist | 751 South Bascom Ave., Department of Inpatient Pharmacy, San Jose, CA 95128-2604 | 2012-08-29 |
| 1255699047 | Hanh Nguyen Tran | Pharmacist | 2758 Trovata Ct, San Jose, CA 95135-1258 | 2012-04-30 |
| 1962653741 | Folashade Anike Naku | Pharmacist | 1167 S King Rd, San Jose, CA 95122-2144 | 2008-10-09 |
| 1285852251 | Xuan Cung | Pharmacist | 2480 N 1st St, Suite 200, San Jose, CA 95131-1020 | 2007-04-23 |
| 1306445861 | Susan Peera | Pharmacist | 250 Hospital Pkwy, San Jose, CA 95119-1103 | 2020-10-25 |
| 1235754698 | Michael Wong | Pharmacist | 151 W Mission St, San Jose, CA 95110-1713 | 2020-06-11 |
| 1316561137 | Sophie Nguyen | Pharmacist | 2101 Alexian Dr Ste D, San Jose, CA 95116-1901 | 2020-06-08 |
| 1023659448 | Linda Lien Tran | Pharmacist | 225 N Jackson Ave, Pharmacy Department, San Jose, CA 95116 | 2019-10-07 |
| Find all providers in SAN JOSE | ||||
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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.