Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104591841 Individual Practitioner Female Practitioner

Carly Rose Phan

Pharmacist • Lanham, MD

Professional Overview & Biography Verified Profile Summary

Carly Phan is a registered healthcare professional specializing in Pharmacist in Lanham, MD. Practice services are available at 4551 FORBES BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4551 Forbes Blvd

Lanham, MD 207064325

Telephone 3019186500

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Lanham, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
42 Specialists

Practicing in Lanham, MD (5672 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: 2021-08-13
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MD 28145

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
NPI 1275801250

Registered Pharmacist, Master of Public Health

NPI 1306186473
NPI 1528303013

Doctor of Pharmacy (Pharm.D.)

NPI 1548684178

Doctor of Pharmacy (Pharm.D.), Registered Pharmacist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 13, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2021

Registered at 4551 FORBES BLVD, LANHAM, MD 207064325 (Tel: 3019186500)

📍
Updated Business Mailing Address August 13, 2021

Registered at 4551 FORBES BLVD, LANHAM, MD 207064325 (Tel: 3019186500)

👤
Provider Name / Credentials Updated August 13, 2021

Recorded as CARLY PHAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2021

Pharmacist (License #28145 in MD)

🟢
Initial NPI Registration & Enumeration August 13, 2021

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: 1104591841
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2021
Last Update: August 13, 2021
Sole Proprietor: No

Mailing Address

4551 Forbes Blvd

Lanham, MD 207064325

Phone: 3019186500

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.