CONNIE PHAN (NPI# 1932570009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932570009 |
| Entity Type | Individual |
| Full Name | CONNIE PHAN |
| Credential | B.S. |
| Practice Address |
1471 B St Ste R Livingston CA 95334-1426 |
| Practice Telephone | 2093982035 |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 71986 | CA | Pharmacy Service Providers |
| Street Address |
1471 B ST STE R |
| City | LIVINGSTON |
| State | CA |
| Zip Code | 95334-1426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659813251 | Gkn Rx | Pharmacy | 1471 B St Ste R, Livingston, CA 95334-1426 | 2016-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205311941 | Kevin Maurice Mcgauley | Nurse Practitioner | Livingston Community Health, 1140 Main Street, Livingston, CA 95334 | 2018-09-28 |
| 1225568801 | Jetinder Singh | Licensed Vocational Nurse | 1820 Sun Valley Ave, Livingston, CA 95334 | 2017-06-15 |
| 1114318821 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 474 Winton Pkwy, Livingston, CA 95334 | 2015-02-17 |
| 1780015677 | Mark Kallini | Community Health Worker | 1201 Campbell Boulevard, Livingston, CA - CALIFORNIA 95334 | 2013-12-03 |
| 1780611509 | Ofelia G Ortiz | Specialist | 1140 Main St, Livingston, CA 95334 | 2006-06-27 |
| 1508340613 | Nareeta Sharma | Pharmacist | 500 Main St, Livingston, CA 95334 | 2018-09-24 |
| 1639663248 | Amandeep Kaur Johal | Registered Nurse | 1140 Main St, Livingston, CA 95334 | 2018-06-18 |
| 1548790314 | Lakhbir Bikramjit Singh Sodhi | Nurse Practitioner | 2275 F St Ste 1&2, Livingston, CA 95334 | 2017-06-14 |
| 1154717213 | Rohit Arora | Internal Medicine | 1140 Main St, Livingston, CA 95334 | 2015-04-15 |
| 1154529949 | Jeffrey Michael Carter | Dentist | 1112 Main St, Livingston, CA 95334 | 2007-07-03 |
| Find all providers in zip 95334 | ||||
| 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 |
|---|---|---|---|---|
| 1568073427 | Yasmine Ibrahim | Pharmacist | 454 S Lvingston Ave, Livingston, NJ 07039-4328 | 2020-08-13 |
| 1083192645 | Prubjot Malhi | Pharmacist | 12748 Magnolia Ave, Livingston, CA 95334-9602 | 2018-08-04 |
| 1760919559 | Mahmoud Abdelmoaty | Pharmacist | 45 S Livingston Ave, #1, Livingston, NJ 07039-3016 | 2017-05-11 |
| 1821492992 | Obioa Augustine Onwubuya | Pharmacist | 45 S Livingston Ave Ste 1, Livingston, NJ 07039-3019 | 2014-10-17 |
| 1235530874 | Chad Seely | Pharmacist | 204 E Summit St, Livingston, MT 59047-2033 | 2014-09-15 |
| 1710315700 | Mark Klawitter | Pharmacist | 319 S 12th St, Livingston, MT 59047-2933 | 2013-10-29 |
| 1942555156 | Laurine Barrow | Pharmacist | 52 Irving Ave, Livingston, NJ 07039-2909 | 2012-07-13 |
| 1124398656 | Jimmie D Allison | Pharmacist | 2120 W Park St, Livingston, MT 59047-4127 | 2011-12-30 |
| 1689951675 | Rasik Nagrecha | Pharmacist | 23 Canoe Brook Dr, Livingston, NJ 07039-6121 | 2011-11-04 |
| 1558644310 | Jon Joseph | Pharmacist | 45a S Livingston Avenue, Livingston, NJ 07039 | 2011-09-27 |
| Find all providers in LIVINGSTON | ||||
| City | LIVINGSTON |
| Zip Code | 95334 |
Please comment or provide details below to improve the information on CONNIE PHAN.
| 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.