What is Ethan Phan's NPI number?

Ethan Phan's National Provider Identifier (NPI) is 1629805833, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ethan Phan's specialty?

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

Where is Ethan Phan located?

Ethan Phan's practice location on file with NPPES is 9850 W St Lukes Dr, Nampa, ID 83687-7912.

What is Ethan Phan's phone number?

The practice phone number listed in the NPPES registry for Ethan Phan is (208) 381-6161.

Is Ethan Phan's NPI active?

Yes — Ethan Phan's NPI (1629805833) is active in the NPPES registry as of the last update on 2024-09-19.

IndividualActive

Ethan Phan, PHARMD

NPI 1629805833 · Pharmacist · Nampa, ID

Ethan Phan, PHARMD is a Pharmacist provider in Nampa, ID (NPI 1629805833).

Provider details

NPI number: 1629805833
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARMD
Sex: Male
Sole proprietor: No
License: 3061173 (ID)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 3061173 (ID)
Pharmacy Service Providers

Profile Score

Established profile(56/100 index)

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

Registry tenure38% of score
1 yr 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

9850 W St Lukes Dr

Nampa, ID 83687-7912

Phone: (208) 381-6161

Street-level locationGet directions

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Mailing address