KELLY D PHAN
NPI 1306400783
Pharmacist in San Jose, CA

Active since May 01, 2019
2514 BERRYESSA RD, SAN JOSE, CA 95132(408) 272-1431 Get Directions Write a Review

NPPES record last updated: May 1, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly D Phan NPPES

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

KELLY D PHAN (NPI 1306400783) is an individual pharmacist in San Jose, California, licensed in California (64703) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1306400783
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKELLY D PHAN
Location Address2514 BERRYESSA RDSan Jose, CA 95132-2947
Mailing Address1308 Isengard CtSan Jose, CA 95121-2525
Sole ProprietorYes
Enumeration DateMay 1, 2019
NPI 1306400783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 64703
Definition

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.

2514 BERRYESSA RD, San Jose, CA 95132

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
2514 BERRYESSA RD
SAN JOSE, CA 95132
Nurse Practitioner
2514 BERRYESSA RD
SAN JOSE, CA 95132
Pharmacist
2514 BERRYESSA RD
SAN JOSE, CA 95132
Pharmacist
2514 BERRYESSA RD
SAN JOSE, CA 95132
Pharmacist
2514 BERRYESSA RD
SAN JOSE, CA 95132
Nurse Practitioner (Family)
2514 BERRYESSA RD
SAN JOSE, CA 95132
Nurse Practitioner (Family)
2514 BERRYESSA RD
SAN JOSE, CA 95132
Pharmacist
2514 BERRYESSA RD
SAN JOSE, CA 95132

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 Kelly Phan's NPI number?

The NPI number for Kelly Phan is 1306400783. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Where is Kelly Phan located?

Kelly Phan practices at 2514 Berryessa Rd, San Jose, CA 95132. The listed phone number is (408) 272-1431.

What is Kelly Phan's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kelly Phan was last updated on May 1, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.