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Hung Phi Phan, PHARMACIST

Pharmacist in San Jose, CA. Individual provider (NPI-1).

NPI number1790782175
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1790782175
Entity type
Individual (NPI-1)
Name
Mr. Hung Phi Phan
Credential
PHARMACIST
Sex
Male
Sole proprietor
No
Enumeration date
Jun 30, 2005
Last updated
Jul 13, 2026

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
Excluded since Jun 20, 2012 (1128a1)

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistRPH45283CAYes

Practice location

702 E Santa Clara St
Suite #1
San Jose, CA 95112-1920

Phone 408-275-0858 · Fax 408-275-0859

Mailing address

702 E Santa Clara St
Suite #1
San Jose, CA 95112-1920

Phone 408-275-0858 · Fax 408-275-0859

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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