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PHONG PHAN PHARM.D
NPI 1710518915
Pharmacist in Coachella, CA

Active since January 28, 2020
84 010 AVENUE 50, COACHELLA, CA 92236(760) 391-5656 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phong Phan Pharm.d NPPES

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

PHONG PHAN PHARM.D (NPI 1710518915) is an individual pharmacist in Coachella, California, licensed in California (80481) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1710518915
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NamePHONG PHANCredential: PHARM.D
Location Address84 010 AVENUE 50Coachella, CA 92236
Mailing Address1124 S Arapaho DrSanta Ana, CA 92704-2407 · (714) 623-6607
Phone(760) 391-5656
Sole ProprietorYes
Enumeration DateJanuary 28, 2020
✔ NPI 1710518915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CA · 80481
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.
84 010 AVENUE 50, Coachella, CA 92236
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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 Phong Phan's NPI number?

The NPI number for Phong Phan is 1710518915. It was assigned to this individual provider in the NPPES registry on January 28, 2020.

Where is Phong Phan located?

Phong Phan practices at 84 010 Avenue 50, Coachella, CA 92236. The listed phone number is (760) 391-5656.

What is Phong 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 Phong Phan was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.