What is Phung Phan's NPI number?

Phung Phan's National Provider Identifier (NPI) is 1174110852, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Phung Phan's specialty?

Phung Phan is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Phung Phan located?

Phung Phan's practice location on file with NPPES is 869 Horizon South Pkwy, Grovetown, GA 30813-3025.

What is Phung Phan's phone number?

The practice phone number listed in the NPPES registry for Phung Phan is (706) 651-0306.

Is Phung Phan's NPI active?

Yes — Phung Phan's NPI (1174110852) is active in the NPPES registry as of the last update on 2025-11-07.

IndividualActive

Phung Phan

NPI 1174110852 · Pharmacist · Grovetown, GA

Phung Phan is a Pharmacist provider in Grovetown, GA (NPI 1174110852).

Provider details

NPI number: 1174110852
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Sex: Female
Sole proprietor: No
License: RPH028339 (GA)

Specialties & taxonomies

PharmacistPrimary183500000XLicense RPH028339 (GA)
Pharmacy Service Providers

Profile Score

Established profile(63/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 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

869 Horizon South Pkwy

Grovetown, GA 30813-3025

Phone: (706) 651-0306

Fax: (706) 210-0292

Street-level locationGet directions

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Mailing address