Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174110852 Individual Practitioner Female Practitioner

Phung Kim Phan

Pharmacist • Grovetown, GA

Professional Overview & Biography Verified Profile Summary

Phung Phan is a registered healthcare professional specializing in Pharmacist in Grovetown, GA. Practice services are available at 869 HORIZON SOUTH PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

869 Horizon South Pkwy

Grovetown, GA 308133025

Telephone 7066510306
Fax 7062100292
Associated Practice Facility / Clinic
🏢 Georgia Cvs Pharmacy, L.l.c. Facility NPI 1477656247

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Grovetown, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
27 Specialists

Practicing in Grovetown, GA (8508 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: 2025-11-07
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License GA RPH028339

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

2 Associated Practitioners
NPI 1194449181

Doctor of Pharmacy (Pharm.D.)

NPI 1548519481

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address November 07, 2025

Registered at 869 HORIZON SOUTH PKWY, GROVETOWN, GA 308133025 (Tel: 7066510306)

NPI Profile Active December 29, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 29, 2020

Registered at 869 HORIZON SOUTH PKWY, GROVETOWN, GA 308133025 (Tel: 7066510306)

📍
Updated Business Mailing Address December 29, 2020

Registered at 1565 BALDWIN LAKES DR, GROVETOWN, GA 308135888 (Tel: 7069452713)

👤
Provider Name / Credentials Updated December 29, 2020

Recorded as PHUNG PHAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2020

Pharmacist (License #RPH028339 in GA)

🟢
Initial NPI Registration & Enumeration December 29, 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: 1174110852
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 29, 2020
Last Update: November 07, 2025
Sole Proprietor: No

Mailing Address

869 Horizon South Pkwy

Grovetown, GA 308133025

Phone: 7066510306

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.