Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174148662 Individual Practitioner Male Practitioner

Minh Duc Phan

Pharmacist • Lodi, CA

Professional Overview & Biography Verified Profile Summary

Minh Phan is a registered healthcare professional specializing in Pharmacist in Lodi, CA. Practice services are available at 975 S FAIRMONT AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

975 S Fairmont Ave

Lodi, CA 952405118

Telephone 2093397595
Fax 2093697694
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Lodi, CA

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

Practicing in Lodi, 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: 2020-06-10
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CA 60175

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
Teri Spring , RD

Dietitian, Registered

NPI 1003131921

Registered Dietitian

Dr. Kevin Rabey , MD

Emergency Medicine

NPI 1033159868

Doctor of Medicine (M.D.)

Arianna Bush

Physician Assistant

NPI 1043196603
Kristina Fortes , FNP, MSN, RN

Nurse Practitioner - Family

NPI 1063780260

Family Nurse Practitioner, Master of Science in Nursing, Registered Nurse

Dr. Adam Woodyard , DO

Radiology - Diagnostic Radiology

NPI 1063972198

Doctor of Osteopathic Medicine (D.O.)

Lancy Lu

Pediatrics

NPI 1114389137

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 10, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2020

Registered at 975 S FAIRMONT AVE, LODI, CA 952405118 (Tel: 2093397595)

📍
Updated Business Mailing Address June 10, 2020

Registered at 10135 TONY CT, STOCKTON, CA 952094578 (Tel: 2094069980)

👤
Provider Name / Credentials Updated June 10, 2020

Recorded as MINH PHAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2020

Pharmacist (License #60175 in CA)

🟢
Initial NPI Registration & Enumeration June 10, 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: 1174148662
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2020
Last Update: June 10, 2020
Sole Proprietor: No

Mailing Address

10135 Tony Ct

Stockton, CA 952094578

Phone: 2094069980

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.