IndividualActive
Khoi Phan, PHARM.D
NPI 1083963680 · Pharmacist · Dallas, TX
Provider details
- NPI number
- 1083963680
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM.D
- Sex
- Male
- Sole proprietor
- No
- License
- 52113 (TX)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11700 Preston Rd
Ste 703
Dallas, TX 75230-6112
Phone: (214) 750-4502
Fax: (214) 750-4951
Street-level locationGet directions
Mailing address
1836 W Davis St
Dallas, TX 75208-5411
Registry dates
- Enumerated
- 2012-08-29
- Last updated
- 2013-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.