PHAT TAN PHAN
NPI 1629635305
Pharmacist in Bakersfield, CA

Active since May 29, 2019
11200 OLIVE DR, BAKERSFIELD, CA 93312(661) 588-0010 Get Directions Write a Review

NPPES record last updated: May 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phat Tan Phan NPPES

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

PHAT TAN PHAN (NPI 1629635305) is an individual pharmacist in Bakersfield, California, licensed in California (80453) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1629635305
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NamePHAT TAN PHAN
Location Address11200 OLIVE DRBakersfield, CA 93312-5840
Mailing Address5101 Belle Ter Apt 4Bakersfield, CA 93309-3734 · (714) 487-3257
Sole ProprietorNo
Enumeration DateMay 29, 2019
NPI 1629635305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 80453
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.
11200 OLIVE DR, Bakersfield, CA 93312

Other Identifiers 1

Other80435CA · Pharmacist License Number

Other Providers at the Same Location NPPES 7

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

Pharmacy Technician
11200 OLIVE DR
BAKERSFIELD, CA 93312
Pharmacist
11200 OLIVE DR
BAKERSFIELD, CA 93312
Pharmacist
11200 OLIVE DR
BAKERSFIELD, CA 93312
Pharmacist
11200 OLIVE DR
BAKERSFIELD, CA 93312
Pharmacy Technician
11200 OLIVE DR
BAKERSFIELD, CA 93312
Pharmacist
11200 OLIVE DR
BAKERSFIELD, CA 93312
Pharmacist
11200 OLIVE DR
BAKERSFIELD, CA 93312

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 Phat Phan's NPI number?

The NPI number for Phat Phan is 1629635305. It was assigned to this individual provider in the NPPES registry on May 29, 2019.

Where is Phat Phan located?

Phat Phan practices at 11200 Olive Dr, Bakersfield, CA 93312. The listed phone number is (661) 588-0010.

What is Phat 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 Phat Phan was last updated on May 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.