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Active NPI 1710518915 Individual Practitioner Male Practitioner

Dr. Phong Phan , PharmD

Pharmacist • Coachella, CA

Professional Overview & Biography Verified Profile Summary

Dr. Phong Phan, PharmD is a registered healthcare professional specializing in Pharmacist in Coachella, CA. Practice services are available at 84 010 AVENUE 50 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

84 010 Avenue 50

Coachella, CA 92236

Telephone 7603915656
Associated Practice Facility / Clinic
🏢 Garfield Beach Cvs, L.l.c. Facility NPI 1326290222

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Coachella, CA

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

Practicing in Coachella, 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

CMS Verified: 2020-01-28
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CA 80481

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

4 Associated Practitioners
David Quan

Pharmacist

NPI 1003343641
NPI 1326411000

Doctor of Pharmacy (Pharm.D.)

Doreen Tudor

Pharmacist

NPI 1326679259
NPI 1932821451

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 28, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location January 28, 2020

Registered at 84 010 AVENUE 50, COACHELLA, CA 92236 (Tel: 7603915656)

📍
Updated Business Mailing Address January 28, 2020

Registered at 1124 S ARAPAHO DR, SANTA ANA, CA 927042407 (Tel: 7146236607)

👤
Provider Name / Credentials Updated January 28, 2020

Recorded as PHONG PHAN, PHARM.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2020

Pharmacist (License #80481 in CA)

🟢
Initial NPI Registration & Enumeration January 28, 2020

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: 1710518915
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 28, 2020
Last Update: January 28, 2020
Sole Proprietor: Yes

Mailing Address

1124 S Arapaho Dr

Santa Ana, CA 927042407

Phone: 7146236607

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.