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Active NPI 1801402748 Individual Practitioner Male Practitioner

Dr. Long Phan , PharmD

Pharmacist • Healdsburg, CA

Professional Overview & Biography Verified Profile Summary

Dr. Long Phan, PharmD is a registered healthcare professional specializing in Pharmacist in Healdsburg, CA. Practice services are available at 1375 UNIVERSITY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1375 University St

Healdsburg, CA 954483382

Telephone 4087814631
Associated Practice Facility / Clinic
🏢 Munro, Booth & Cutruzzola Facility NPI 1437103884

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Healdsburg, CA

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

Practicing in Healdsburg, 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: 2020-09-16
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CA 81431

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

3 Associated Practitioners
Dr. Elizabeth Faulk , MD

Emergency Medicine

NPI 1033179882

Doctor of Medicine (M.D.)

Stewart Williams , RD, CSG, LD

Dietitian, Registered

NPI 1710426762

Registered Dietitian, CSG, Licensed Dietitian

NPI 1861809683

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 16, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 16, 2020

Registered at 1375 UNIVERSITY ST, HEALDSBURG, CA 954483382 (Tel: 4087814631)

📍
Updated Business Mailing Address September 16, 2020

Registered at 3580 W GRANT LINE RD UNIT 521, TRACY, CA 953049614 (Tel: 4087814631)

👤
Provider Name / Credentials Updated September 16, 2020

Recorded as LONG PHAN, PHARM D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2020

Pharmacist (License #81431 in CA)

🟢
Initial NPI Registration & Enumeration September 16, 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: 1801402748
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 16, 2020
Last Update: September 16, 2020
Sole Proprietor: No

Mailing Address

3580 W Grant Line Rd Unit 521

Tracy, CA 953049614

Phone: 4087814631

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.