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JACQUELINE PAN
NPI 1053182824
Pharmacy in Long Beach, CA

Active since January 11, 2024
1031 XIMENO AVE, LONG BEACH, CA 90804(561) 760-5204 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Pan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE PAN (NPI 1053182824) is an individual pharmacy provider in Long Beach, California, licensed in California (79584) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1053182824
Entity TypeIndividualFemale
Primary Taxonomy333600000X
Provider Legal NameJACQUELINE PAN
Location Address1031 XIMENO AVELong Beach, CA 90804-4304
Mailing Address1031 Ximeno AveLong Beach, CA 90804-4304 · (562) 760-5204
Phone(561) 760-5204
Sole ProprietorYes
Enumeration DateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
✔ NPI 1053182824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in CA · 79584
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
1031 XIMENO AVE, Long Beach, CA 90804
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Pan's NPI number?

The NPI number for Jacqueline Pan is 1053182824. It was assigned to this individual provider in the NPPES registry on January 11, 2024.

Where is Jacqueline Pan located?

Jacqueline Pan practices at 1031 Ximeno Ave, Long Beach, CA 90804. The listed phone number is (561) 760-5204.

What is Jacqueline Pan's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Pan was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.