Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043726086 Individual Practitioner Male Practitioner

Timothy Van Phan

Pharmacist • Antioch, CA

Professional Overview & Biography Verified Profile Summary

Timothy Phan is a registered healthcare professional specializing in Pharmacist in Antioch, CA. Practice services are available at 4501 SAND CREEK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4501 Sand Creek Rd

Antioch, CA 945318687

Telephone 9258136500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Antioch, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.8 Yrs
Regional Practice Density
108 Specialists

Practicing in Antioch, CA (33119 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CA 77739

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003867607

Doctor of Medicine (M.D.)

Dr. Chung Kung , MD

Internal Medicine

NPI 1003994179

Doctor of Medicine (M.D.)

Hai Hong Huang Huang

Dietitian, Registered

NPI 1033075445
NPI 1033437231

Doctor of Medicine (M.D.)

NPI 1033670104

Doctor of Physical Therapy

Meng Hao

Pharmacist

NPI 1033840947

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 28, 2017

Registered at 4501 SAND CREEK RD, ANTIOCH, CA 945318687 (Tel: 9258136500)

📍
Updated Business Mailing Address December 28, 2017

Registered at 4595 WINONA AVE, SAN DIEGO, CA 921153332

👤
Provider Name / Credentials Updated December 28, 2017

Recorded as TIMOTHY PHAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2017

Pharmacist (License #77739 in CA)

🟢
Initial NPI Registration & Enumeration December 28, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043726086
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2017
Last Update: December 28, 2017
Sole Proprietor: Yes

Mailing Address

4595 Winona Ave

San Diego, CA 921153332

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.