LOAN PHAN (NPI# 1497388607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497388607 |
| Entity Type | Individual |
| Full Name | LOAN PHAN |
| Practice Address |
14344 Memorial Dr Houston TX 77079-6700 |
| Practice Telephone | 2814973565 |
| Practice Fax Number | 2814973281 |
| Mailing Telephone | 2814973565 |
| Mailing Fax Number | 2814973281 |
| Enumeration Date | 2020-02-16 |
| Last Update Date | 2020-02-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
51592 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574304 | Loan Phan | Counselor | 5608 Zuni Rd Se, Albuquerque, NM 87108 | 2018-07-06 |
| 1245503986 | Loan Kim Phan | Nurse Practitioner | 1624 N Rock Rd, Derby, KS 67037-3718 | 2012-02-10 |
| 1851595516 | Loan T Phan | Physician Assistant | 759 Chestnut Street, Springfield, MA 01199 | 2007-06-14 |
| Street Address |
14344 MEMORIAL DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77079-6700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669545190 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 14344 Memorial Dr, Houston, TX 77079-6700 | 2006-11-15 |
| 1063011377 | Nho Nguyen | Pharmacist | 14344 Memorial Dr, Houston, TX 77079-6700 | 2020-10-19 |
| 1144858473 | Adenike Omoyosi | Pharmacist | 14344 Memorial Dr, Houston, TX 77079-6700 | 2020-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982213542 | Apg Ancillaries LLC | Durable Medical Equipment & Medical Supplies | 14811 Saint Marys Ln Ste 152, Houston, TX 77079 | 2020-07-29 |
| 1982244174 | Agatha Nwosu | Registered Nurse | 1155 Dairy Ashford Rd Suite 560, Houston, TX 77079 | 2020-01-15 |
| 1164924650 | Victoria Okon | Licensed Vocational Nurse | 14461 Still Meadow Dr., Houston, TX 77079 | 2018-03-01 |
| 1649711623 | Deon Flenoy | Case Manager/Care Coordinator | 14027 Memorial Dr # 419, Houston, TX 77079 | 2017-03-10 |
| 1396298428 | Supriya Krishnan | Optometrist | 14634 Memorial Dr, Houston, TX 77079 | 2016-07-25 |
| 1942670401 | Medfast Pediatric & Family Clinic | Nurse Practitioner | 14520 Old Katy Rd, St 109, Houston, TX 77079 | 2015-09-28 |
| 1558742106 | Evan Christopher Adams | Dentist | 909 Dairy Ashford Rd Ste 104, Houston, TX 77079 | 2015-06-09 |
| 1114313152 | Yun Li | Internal Medicine | 13140 Trail Hollow Dr, Houston, TX 77079 | 2015-04-07 |
| 1629460308 | Michelle Maligaya | Registered Nurse | 1201 N Dairy Ashford Rd Ste 100, Houston, TX 77079 | 2015-03-04 |
| 1144611989 | Ryan M Keutzer | Hearing Instrument Specialist | 12900 Queensbury Ln #100, Houston, TX 77079 | 2015-02-16 |
| Find all providers in zip 77079 | ||||
| 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 |
|---|---|---|---|---|
| 1992321277 | Chinonso Bright Ezeudu | Pharmacist | 12647 Ashford Meadow Dr Apt A, Houston, TX 77082-6252 | 2020-06-22 |
| 1902439524 | Kristy Nguyen | Pharmacist | 1515 Holcombe Blvd # Y2561021, Houston, TX 77030-4000 | 2020-02-21 |
| 1407488489 | Hai Trang | Pharmacist | 9919 Westheimer Rd, Houston, TX 77042-3802 | 2020-02-07 |
| 1750847125 | Janet Starnes Way | Pharmacist | 905 Town and Country Blvd Apt 644, Houston, TX 77024-2322 | 2019-02-11 |
| 1275089823 | Blessing Obehi Adodo | Pharmacist | 2900 N Loop West, Houston, TX 77092 | 2016-09-01 |
| 1154793842 | Denise Crow | Pharmacist | 5723 Sanford Rd, Houston, TX 77096-6036 | 2015-10-21 |
| 1154755791 | Janell Fontenot | Pharmacist | 15938 La Avenida Dr, Houston, TX 77062-4234 | 2013-08-31 |
| 1700138690 | Elaine Bec | Pharmacist | 21202 State Hwy 249, Houston, TX 77070 | 2012-10-03 |
| 1063760791 | Ronald Lee | Pharmacist | 9829 Cynthia Ann Court, Houston, TX 77025 | 2012-08-28 |
| 1740541119 | Michael Allen Adams | Pharmacist | 14655 Northwest Fwy, Suite 101, Houston, TX 77040-4042 | 2012-06-01 |
| Find all providers in HOUSTON | ||||
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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.