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DR. JENNIFER KIM PHAN
NPI 1972930394
Pharmacist in Santa Rosa, CA

Active since September 30, 2013
1980 SANTA ROSA AVE, SANTA ROSA, CA 95407(707) 575-0665 Get Directions Write a Review

NPPES record last updated: September 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jennifer Kim Phan NPPES

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

DR. JENNIFER KIM PHAN (NPI 1972930394) is an individual pharmacist in Santa Rosa, California, licensed in California (69544) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1972930394
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. JENNIFER KIM PHAN
Location Address1980 SANTA ROSA AVESanta Rosa, CA 95407
Mailing Address1280 Pecos WaySunnyvale, CA 94089 · (408) 910-2448
Phone(707) 575-0665
Sole ProprietorNo
Enumeration DateSeptember 30, 2013
✔ NPI 1972930394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CA · 69544
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.
1980 SANTA ROSA AVE, Santa Rosa, CA 95407
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Other Providers at the Same Location NPPES 5

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

BENJAMIN YU
Pharmacist
1980 SANTA ROSA AVE
SANTA ROSA, CA 95407
Sonoma County (707) 575-0982
MISS TAMMY Y CHEN B.S. IN PHARMACY
Pharmacist
1980 SANTA ROSA AVE
SANTA ROSA, CA 95407
Sonoma County (707) 575-0982
GARFIELD BEACH CVS LLC
Pharmacy
1980 SANTA ROSA AVE
SANTA ROSA, CA 95407
Sonoma County (707) 575-0982
DR. CHRISTOPHER ADKINS PHARMD
Pharmacist
1980 SANTA ROSA AVE
SANTA ROSA, CA 95407
Sonoma County (707) 575-0982
MS. JEAN MARIE SWANSON R.PH.
Pharmacist
1980 SANTA ROSA AVE
SANTA ROSA, CA 95407
Sonoma County (707) 575-0982

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 Jennifer Phan's NPI number?

The NPI number for Jennifer Phan is 1972930394. It was assigned to this individual provider in the NPPES registry on September 30, 2013.

Where is Jennifer Phan located?

Jennifer Phan practices at 1980 Santa Rosa Ave, Santa Rosa, CA 95407. The listed phone number is (707) 575-0665.

What is Jennifer 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 Jennifer Phan was last updated on September 30, 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.