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PHOUA DIANE VANG
NPI 1740731678
Pharmacist in Santa Rosa, CA

Active since October 14, 2016
1002 JENNINGS AVE, APT 208, SANTA ROSA, CA 95401(559) 800-3596 Get Directions Write a Review

NPPES record last updated: October 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoua Diane Vang NPPES

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

PHOUA DIANE VANG (NPI 1740731678) is an individual pharmacist in Santa Rosa, California, licensed in California (75719) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1740731678
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NamePHOUA DIANE VANG
Location Address1002 JENNINGS AVE, APT 208Santa Rosa, CA 95401-4293
Mailing Address401 Bicentennial Way, Room #2117Santa Rosa, CA 95403-2149 · (707) 393-4169
Phone(559) 800-3596
Sole ProprietorNo
Enumeration DateOctober 14, 2016
✔ NPI 1740731678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CA · 75719
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.
1002 JENNINGS AVE, Santa Rosa, CA 95401
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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 Phoua Vang's NPI number?

The NPI number for Phoua Vang is 1740731678. It was assigned to this individual provider in the NPPES registry on October 14, 2016.

Where is Phoua Vang located?

Phoua Vang practices at 1002 Jennings Ave Apt 208, Santa Rosa, CA 95401. The listed phone number is (559) 800-3596.

What is Phoua Vang'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 Phoua Vang was last updated on October 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.