DR. JULIE PHAN (NPI# 1972022275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972022275 |
| Entity Type | Individual |
| Full Name | DR. JULIE PHAN |
| Credential | PHARMD |
| Practice Address |
1818 S 300 W Salt Lake City UT 84115-1805 |
| Practice Telephone | (801) 485-9885 |
| Mailing Telephone | 8014859885 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 80894 | UT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750804761 | Julie Phan | Pharmacist | 19744 Cameron Ave, Covina, CA 91724-3933 | 2017-07-21 |
| 1740804004 | Julie Phan | Student in an Organized Health Care Education/Training Program | 930 Commonwealth Ave, Boston, MA 02215-1274 | 2020-06-02 |
| 1063946531 | Julie Phan | Pharmacist | 4100 Redwood Rd, Oakland, CA 94619-2363 | 2017-04-11 |
| 1487092813 | Julie Phan | Optometrist | 1055 Harriman Pl, San Bernardino, CA 92408-4203 | 2013-06-07 |
| 1467749614 | Julie Ann Phan | Emergency Medicine | 2315 Stockton Blvd., Pssb 2100, Sacramento, CA 95817 | 2011-07-07 |
| Street Address |
1818 S 300 W |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84115-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821076555 | Nathan Ray Green | Optometrist | 1818 S 300 W, Salt Lake City, UT 84115-1805 | 2006-01-03 |
| 1952810731 | Salt Lake City Eye Care, LLC | Optometrist | 1818 S 300 W, Salt Lake City, UT 84115-1805 | 2017-09-25 |
| 1427442037 | Costco Wholesale Corporation | Hearing Aid Equipment | 1818 S 300 W, Salt Lake City, UT 84115-1805 | 2015-03-20 |
| 1285025569 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1818 S 300 W, Salt Lake City, UT 84115-1805 | 2015-02-09 |
| 1649603572 | Jedidiah David Smith | Optometrist | 1818 S 300 W, Salt Lake City, UT 84115-1805 | 2013-08-14 |
| 1497039945 | Bruce Hodgdon | Pharmacist | 1818 S 300 W, Salt Lake City, UT 84115-1805 | 2011-10-03 |
| 1780975649 | John Heath | Pharmacist | 1818 S 300 W, Salt Lake City, UT 84115-1805 | 2011-04-27 |
| 1477735710 | Nathan Green O.d., P.C. | Optometrist | 1818 S 300 W, Salt Lake City, UT 84115-1805 | 2007-11-28 |
| 1285778753 | Dwayne Freebairn | Pharmacist | 1818 S 300 W, Salt Lake City, UT 84115-1805 | 2007-02-17 |
| 1356451983 | Costco Wholesale Corporation | Pharmacy | 1818 S 300 W, Salt Lake City, UT 84115 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344198 | Shannon Ballinger | Clinic/Center | 1470 400 W, Salt Lake City, UT 84115 | 2020-10-22 |
| 1992346704 | Anicka Inc | Clinic/Center | 3195 South Main St, Ste 260, South Salt Lake, UT 84115 | 2019-10-02 |
| 1083177505 | Vitor Gabriel Giuliani Alcantara Carioca | Specialist/Technologist | 1850 South Campus Drive, Salt Lake City, UT 84115 | 2019-04-11 |
| 1427528371 | Samuel James Leonhart | Behavior Technician | 354 East Coatsville Drive, Salt Lake City, UT 84115 | 2018-12-04 |
| 1093228645 | Eco Pharmacy LLC | Pharmacy | 3702 S State Street Suite 115, South Salt Lake City, UT 84115 | 2017-11-06 |
| 1568973055 | Eco Apothecary LLC | Pharmacy | 3701 S State Street Suite 114, South Salt Lake City, UT 84115 | 2017-10-24 |
| 1548780455 | Kelly Lund | Case Manager/Care Coordinator | 447 W. Bearcat Dr., Salt Lake City, UT 84115 | 2017-06-21 |
| 1104271238 | The Church of Philadelphia Inc. | Community/Behavioral Health | 2358 South Main Street, Salt Lake City, UT 84115 | 2016-04-26 |
| 1710368626 | Jennifer Swanhild Edwards | Counselor | 140 W 2100 S Ste 244, Salt Lake City, UT 84115 | 2015-06-16 |
| 1508247065 | John Mcguire | Health Educator | 1370 S. West Temple, Salt Lake City, UT 84115 | 2015-06-10 |
| Find all providers in zip 84115 | ||||
| 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 |
|---|---|---|---|---|
| 1245830108 | Chadwick M Smith | Pharmacist | 7494 S 2135 E, Salt Lake City, UT 84121-4970 | 2020-10-29 |
| 1568074318 | Kelli Thorup | Pharmacist | 458 E Emerson Ave, Salt Lake City, UT 84115-1531 | 2020-08-21 |
| 1376154435 | James Lindsay Clark | Pharmacist | 201 S 1300 E Ste 101, Salt Lake City, UT 84102-2608 | 2020-08-12 |
| 1699392530 | Rebecca Lavasani | Pharmacist | 1813 E Orchard Dr, Salt Lake City, UT 84106-3258 | 2020-06-26 |
| 1912541772 | Alesia Lynne Hanson | Pharmacist | 2233 S Presidents Dr Ste B, Salt Lake City, UT 84120-7244 | 2019-11-04 |
| 1316596554 | Adam Davies | Pharmacist | 1280 E Stringham Ave., Salt Lake City, UT 84106 | 2019-09-10 |
| 1346899085 | Nathan Wilson | Pharmacist | 1950 Circle of Hope Dr Ste N1780, Salt Lake City, UT 84112-5500 | 2019-09-05 |
| 1437711918 | Hillary Hansen Parkin | Pharmacist | 85 N Medical Dr, Salt Lake City, UT 84112-1100 | 2019-07-03 |
| 1972087328 | Reza Salman | Pharmacist | 4720 S Fortuna Way, Salt Lake City, UT 84124-5620 | 2018-09-21 |
| 1801373022 | John Gardner | Pharmacist | 1280 E Stringham Ave, Salt Lake City, UT 84106-2490 | 2018-07-20 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84115 |
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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.