IndividualActive
Jackie Phan
NPI 1649861022 · Pharmacist · Beaumont, TX
Jackie Phan is a Pharmacist provider in Beaumont, TX (NPI 1649861022).
Provider details
- NPI number
- 1649861022
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 67905 (TX)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(67/100 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
2 documented practice locations
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
3605 College St
Beaumont, TX 77701-4617
Phone: (409) 832-7374
Street-level locationGet directions
Mailing address
20602 Spring Mission Ln
Spring, TX 77388-5366
Additional practice locations (1)
- 20602 Spring Mission LnSpring, TX 77388-5366Phone: (281) 928-6101
Registry dates
- Enumerated
- 2021-01-28
- Last updated
- 2021-01-28
- Certified
- 2021-01-26
Frequently asked questions
- What is Jackie Phan's NPI number?
- Jackie Phan's National Provider Identifier (NPI) is 1649861022, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackie Phan's specialty?
- Jackie Phan is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Jackie Phan located?
- Jackie Phan's practice location on file with NPPES is 3605 College St, Beaumont, TX 77701-4617.
- What is Jackie Phan's phone number?
- The practice phone number listed in the NPPES registry for Jackie Phan is (409) 832-7374.
- Is Jackie Phan's NPI active?
- Yes — Jackie Phan's NPI (1649861022) is active in the NPPES registry as of the last update on 2021-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.