JACKIE PHAN
NPI 1649861022
Pharmacist in Beaumont, TX

Active since January 28, 2021
3605 COLLEGE ST, BEAUMONT, TX 77701(409) 832-7374 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackie Phan NPPES

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

JACKIE PHAN (NPI 1649861022) is an individual pharmacist in Beaumont, Texas, licensed in Texas (67905) and active in the NPI registry since January 2021. She maintains a secondary practice location in Spring.

NPPES Registry Identity

NPI1649861022
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameJACKIE PHAN
Location Address3605 COLLEGE STBeaumont, TX 77701-4617
Mailing Address20602 Spring Mission LnSpring, TX 77388-5366 · (281) 928-6101
Sole ProprietorNo
Enumeration DateJanuary 28, 2021
NPPES CertifiedJanuary 26, 2021
NPI 1649861022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in TX · 67905
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.
3605 COLLEGE ST, Beaumont, TX 77701

Secondary Practice Location 1

Location 120602 Spring Mission LnSpring, TX 77388-5366 · Phone (281) 928-6101

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
3605 COLLEGE ST
BEAUMONT, TX 77701
Pharmacist
3605 COLLEGE ST
BEAUMONT, TX 77701
Pharmacist
3605 COLLEGE ST
BEAUMONT, TX 77701
Pharmacist
3605 COLLEGE ST
BEAUMONT, TX 77701
Pharmacist
3605 COLLEGE ST
BEAUMONT, TX 77701
Pharmacist
3605 COLLEGE ST
BEAUMONT, TX 77701
Pharmacy
3605 COLLEGE ST
BEAUMONT, TX 77701
Pharmacist
3605 COLLEGE ST
BEAUMONT, TX 77701

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 Jackie Phan's NPI number?

The NPI number for Jackie Phan is 1649861022. It was assigned to this individual provider in the NPPES registry on January 28, 2021.

Where is Jackie Phan located?

Jackie Phan practices at 3605 College St, Beaumont, TX 77701. The listed phone number is (409) 832-7374.

What is Jackie 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 Jackie Phan was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.