IndividualActive
Kelly Phan
NPI 1306400783 · Pharmacist · San Jose, CA
Kelly Phan is a Pharmacist provider in San Jose, CA (NPI 1306400783).
Provider details
- NPI number
- 1306400783
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 64703 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
2514 Berryessa Rd
San Jose, CA 95132-2947
Phone: (408) 272-1431
Street-level locationGet directions
Mailing address
1308 Isengard Ct
San Jose, CA 95121-2525
Registry dates
- Enumerated
- 2019-05-01
- Last updated
- 2019-05-01
Frequently asked questions
- What is Kelly Phan's NPI number?
- Kelly Phan's National Provider Identifier (NPI) is 1306400783, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Phan's specialty?
- Kelly Phan is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Kelly Phan located?
- Kelly Phan's practice location on file with NPPES is 2514 Berryessa Rd, San Jose, CA 95132-2947.
- What is Kelly Phan's phone number?
- The practice phone number listed in the NPPES registry for Kelly Phan is (408) 272-1431.
- Is Kelly Phan's NPI active?
- Yes — Kelly Phan's NPI (1306400783) is active in the NPPES registry as of the last update on 2019-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.