What is Kenny Phan's NPI number?

Kenny Phan's National Provider Identifier (NPI) is 1285334912, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kenny Phan's specialty?

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

Where is Kenny Phan located?

Kenny Phan's practice location on file with NPPES is 4165 Faircove Ct, Pomona, CA 91766-4636.

What is Kenny Phan's phone number?

The practice phone number listed in the NPPES registry for Kenny Phan is (909) 306-4624.

Is Kenny Phan's NPI active?

Yes — Kenny Phan's NPI (1285334912) is active in the NPPES registry as of the last update on 2023-03-09.

IndividualActive

Kenny Phan

NPI 1285334912 · Pharmacist · Pomona, CA

Kenny Phan is a Pharmacist provider in Pomona, CA (NPI 1285334912).

Provider details

NPI number: 1285334912
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Sex: Male
Sole proprietor: No
License: 84548 (CA)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 84548 (CA)
Pharmacy Service Providers

Profile Score

Established profile(59/100 index)

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

Registry tenure38% of score
3 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

4165 Faircove Ct

Pomona, CA 91766-4636

Phone: (909) 306-4624

Street-level locationGet directions

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Mailing address