LIEM PHAN
NPI 1881015576
Pharmacist in Holly Hill, FL

Active since December 23, 2013
1340 RIDGEWOOD AVE, HOLLY HILL, FL 32117(386) 615-5079 Get Directions Write a Review

NPPES record last updated: December 28, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Liem Phan NPPES

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

LIEM PHAN (NPI 1881015576) is an individual pharmacist in Holly Hill, Florida, licensed in Florida (PS48997) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1881015576
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameLIEM PHAN
Location Address1340 RIDGEWOOD AVEHolly Hill, FL 32117-2320
Mailing Address302 River Bluff DrOrmond Beach, FL 32174-3837
Sole ProprietorNo
Enumeration DateDecember 23, 2013
Last NPPES UpdateDecember 28, 2013
NPI 1881015576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in FL · PS48997
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.
1340 RIDGEWOOD AVE, Holly Hill, FL 32117

Other Providers at the Same Location NPPES 18

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

Pharmacist
1340 RIDGEWOOD AVE
HOLLY HILL, FL 32117
Pediatrics
1340 RIDGEWOOD AVE
HOLLY HILL, FL 32117
Pharmacist
1340 RIDGEWOOD AVE
HOLLY HILL, FL 32117
Pharmacist (Geriatric)
1340 RIDGEWOOD AVE
DAYTONA BEACH, FL 32117
Pharmacist
1340 RIDGEWOOD AVE
HOLLY HILL, FL 32117
Physician Assistant
1340 RIDGEWOOD AVE
HOLLY HILL, FL 32117
Psychologist
1340 RIDGEWOOD AVE
HOLLY HILL, FL 32117
Counselor (Mental Health)
1340 RIDGEWOOD AVE
HOLLY HILL, FL 32117

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 Liem Phan's NPI number?

The NPI number for Liem Phan is 1881015576. It was assigned to this individual provider in the NPPES registry on December 23, 2013.

Where is Liem Phan located?

Liem Phan practices at 1340 Ridgewood Ave, Holly Hill, FL 32117. The listed phone number is (386) 615-5079.

What is Liem 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 Liem Phan was last updated on December 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.