DAVID MINH PHAN (NPI# 1578028353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578028353 |
| Entity Type | Individual |
| Full Name | DAVID MINH PHAN |
| Credential | RPH |
| Practice Address |
4126 Lake Placid Ct Antelope CA 95843-5267 |
| Practice Telephone | 5057108372 |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 80114 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972099307 | David Phan | Optometrist | 1753 E 95th St Ste B-100, Chicago, IL 60617 | 2018-07-09 |
| 1295098846 | David Phan | Dentist | 10747 Collett Ave, Riverside, CA 92505-2923 | 2012-06-19 |
| 1033187190 | David Coang Phan | Chiropractor | 18575 Gale Ave, City of Industry, CA 91748-1340 | 2006-03-14 |
| 1619530359 | David Vinh Phan | Behavior Technician | 17595 Almahurst St, City of Industry, CA 91748-1779 | 2019-04-18 |
| 1316217227 | David Phan | Pharmacist | 6565 Fannin St, Houston, TX 77030-2703 | 2012-01-09 |
| 1578831897 | David Phan | Pharmacist | 1600 W Roosevelt Rd, Broadview, IL 60155-4024 | 2011-12-01 |
| Street Address |
4126 LAKE PLACID CT |
| City | ANTELOPE |
| State | CA |
| Zip Code | 95843-5267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881196350 | Attayla Marnyce Bell | Behavior Technician | 8438 Cedar Hill Ct, Antelope, CA 95843 | 2018-03-01 |
| 1699297259 | Alexej Iovita | Nursing Home Administrator | 4136 Singing Tree Way, Antelope, CA 95843 | 2017-07-14 |
| 1447386362 | Rescare California, Inc. | Intermediate Care Facility, Mentally Retarded | 8141 Chimango Way, Antelope, CA 95843 | 2007-02-26 |
| 1144373838 | Cynthia Louise Simpson | Dental Hygienist | 8124 Sheehan Way, Antelope, CA 95843 | 2007-01-18 |
| 1750471140 | Dental Corporation of Ghazal Buehler Rodgers | Dentist | 8008 Walerga Rd, Ste. 100, Antelope, CA 95843 | 2006-10-13 |
| 1235245168 | Vimal Amral Dulabh | Dentist | 3535 Elverta Rd, Suite E, Antelope, CA 95843 | 2006-08-22 |
| 1073987269 | Rex Anthony Gamoke | Pharmacist | 4331 Antelope Rd, Antelope, CA 95843 | 2015-11-25 |
| 1134302524 | Firstsight Vision Services, Inc. | Optometrist | 5821 Antelope North Rd, Antelope, CA 95843 | 2007-12-10 |
| 1386116630 | Juliya Sitaruk | Behavior Technician | 3015 Scotland Dr, Antelope, CA 95843-1928 | 2018-12-27 |
| 1861672057 | Firstsight Vision Services, Inc. | Optometrist | 7901 Watt Ave, Antelope, CA 95843-2000 | 2007-11-06 |
| Find all providers in zip 95843 | ||||
| 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 |
|---|---|---|---|---|
| 1902330293 | Diep Pham | Pharmacist | 3620 Bowie Ct, Antelope, CA 95843-4488 | 2017-04-13 |
| 1053478669 | Howard Lamborn IIi | Pharmacist | 3914 Balverne Ct, Antelope, CA 95843-5237 | 2007-01-02 |
| 1043817687 | Rebecca Shoua Yang | Pharmacist | 4300 Elverta Rd, Antelope, CA 95843-6700 | 2020-10-06 |
| 1578036687 | Brandon Tyler Fong | Pharmacist | 7901 Watt Ave, Antelope, CA 95843-2002 | 2019-01-11 |
| 1861901159 | Kathleen Willis Kelly | Pharmacist | 7901 Walerga Rd, Antelope, CA 95843-5722 | 2017-09-29 |
| 1053820688 | Tranchau Le | Pharmacist | 7901 Watt Ave, Antelope, CA 95843-2002 | 2017-09-27 |
| 1780135152 | Many Lee | Pharmacist | 4300 Elverta Rd, Antelope, CA 95843-6700 | 2016-10-20 |
| 1376093369 | Nhan Le | Pharmacist | 7901 Watt Ave, Antelope, CA 95843-2002 | 2016-10-13 |
| 1689124943 | Eliana Lisette Barriga Torres | Pharmacist | 4300 Elverta Rd, Antelope, CA 95843-6700 | 2016-10-11 |
| 1073987269 | Rex Anthony Gamoke | Pharmacist | 4331 Antelope Rd, Antelope, CA 95843 | 2015-11-25 |
| Find all providers in ANTELOPE | ||||
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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.