Luan Phan, PharmD
Pharmacist in Omaha, NE. Individual provider (NPI-1).
NPI number1295568632
StatusActive
Last updated in NPPESJun 29, 2025
Details
- NPI
- 1295568632
- Entity type
- Individual (NPI-1)
- Name
- Luan Phan
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 21, 2024
- Certification date
- Jun 29, 2025
- Last updated
- Jun 29, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 18370 | NE | Yes |
Practice location
7151 Cass StOmaha, NE 68132-2652
Phone 402-558-8551
Mailing address
7151 Cass StOmaha, NE 68132-2652
Phone 402-558-8551
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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