IndividualActive
Minh Phan
NPI 1174148662 · Pharmacist · Lodi, CA
Minh Phan is a Pharmacist provider in Lodi, CA (NPI 1174148662).
Provider details
- NPI number
- 1174148662
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 60175 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
975 S Fairmont Ave
Lodi, CA 95240-5118
Phone: (209) 339-7595
Fax: (209) 369-7694
Approximate (ZIP-level) locationGet directions
Mailing address
10135 Tony Ct
Stockton, CA 95209-4578
Registry dates
- Enumerated
- 2020-06-10
- Last updated
- 2020-06-10
- Certified
- 2020-06-10
Frequently asked questions
- What is Minh Phan's NPI number?
- Minh Phan's National Provider Identifier (NPI) is 1174148662, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Minh Phan's specialty?
- Minh Phan is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Minh Phan located?
- Minh Phan's practice location on file with NPPES is 975 S Fairmont Ave, Lodi, CA 95240-5118.
- What is Minh Phan's phone number?
- The practice phone number listed in the NPPES registry for Minh Phan is (209) 339-7595.
- Is Minh Phan's NPI active?
- Yes — Minh Phan's NPI (1174148662) is active in the NPPES registry as of the last update on 2020-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.