John Phan · Pharmacist

563 Sky Top Dr, Ocoee, FL 34761-4470

Overview

John Phan is a Pharmacist practicing in Daytona Beach, Florida. The National Provider Identifier (NPI) is #1588507016, which was assigned on April 10, 2026, and the registration record was last updated on April 10, 2026. The practitioner's main practice location is at 301 Memorial Pkwy, Daytona Beach, FL 32117; the contact telephone number is 3862316000. The primary taxonomy of John Phan is Pharmacist (183500000X). John Phan is licensed to practice in the state of Florida (#PS67796).

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Provider Information

NPI 1588507016
Entity Type Individual
Provider Name JOHN PHAN
Gender Male
Credential PHARMD
Practice Address 301 Memorial Pkwy
Daytona Beach
FL 32117
Practice Telephone 3862316000
Mailing Address 563 Sky Top Dr
Ocoee
FL 34761-4470
Mailing Telephone 2179790510
Certification Date 2026-04-03
Enumeration Date 2026-04-10
Last Update Date 2026-04-10
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y183500000XPharmacistPS67796FL

Taxonomy Information

Primary Taxonomy

Code 183500000X
Taxonomy Pharmacist
Classification Pharmacist
Grouping Pharmacy Service Providers
Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

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Location Information

Street Address 563 SKY TOP DR
City OCOEE
State FL
Zip Code 34761-4470
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Inspire Healthcare Center PLLC 788 Montgomery Ave, Suite 104, Ocoee, FL 34761-3102Primary Care Clinic/Center2018-06-08
Select Physical Therapy Holdings Inc 1181 and 1185 Blackwood Avenue, Ocoee, FL 34761Rehabilitation Clinic/Center2006-03-17
Adrain Yvette Lee 788 Montgomery Ave Ste 104, Ocoee, FL 34761-3102Family Nurse Practitioner2016-07-21
Paige M Cupp · Paige Mackenzie 10000 W Colonial Dr Ste 495, Ocoee, FL 34761Physician Assistant2017-01-05
Cicely Nicole Parker 120 Zeus Ct, Ocoee, FL 34761-2470Family Nurse Practitioner2019-11-21
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Laken Pharmacy LLC 11109 W Colonial Dr, Ocoee, FL 34761-2935Community/Retail Pharmacy2025-11-14
Emma Hovey Pa-C PLLC 2704 Rew Cir Ste 101, Ocoee, FL 34761-2994Psychiatry Physician2025-10-24
Brittani Holt 1551 Boren Dr Ste C, Ocoee, FL 34761-2966Behavioral Analyst2021-01-08
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.