Quy T Phan is a Pharmacist practicing in Travis Afb, California. The National Provider Identifier (NPI) is #1679430375, which was assigned on January 6, 2026, and the registration record was last updated on January 6, 2026. The practitioner's main practice location is at 101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809; the contact telephone number is 7074232388. The primary taxonomy of Quy T Phan is Pharmacist (183500000X). Quy T Phan is licensed to practice in the state of Massachusetts (#PH1001860).
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.
| NPI | 1679430375 |
| Entity Type | Individual |
| Provider Name | QUY T PHAN |
| Gender | Male |
| Credential | PHARMD |
| Practice Address |
101 Bodin Cir Bldg 777 Travis Afb CA 94535-1809 |
| Practice Telephone | 7074232388 |
| Mailing Address |
1200 Allison Dr Apt 5108 Vacaville CA 95687-5040 |
| Mailing Telephone | 6033937731 |
| Certification Date | 2026-01-06 |
| Enumeration Date | 2026-01-06 |
| Last Update Date | 2026-01-06 |
| Is Sole Proprietor | N |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH1001860 | MA |
| 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] |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Marius Dongmo Soben | 17370 Lakeside Hills Plz, Omaha, NE 68130-2352 | Pharmacist | 2026-05-08 |
| David Leon Preller | 9250 Reseda Blvd, Northridge, CA 91324-3142 | Pharmacist | 2026-05-08 |
| Moustafa Sayed | 11 Centennial Blvd, Chillicothe, OH 45601 | Pharmacist | 2026-05-09 |
| Kathy Corressell | 901 Nw 17th St Ste O, Miami, FL 33136-1135 | Pharmacist | 2026-05-08 |
| Ronit Shamuilov | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | Pharmacist | 2026-05-08 |
| Emma Antoinette Malone | 1112 6th Ave Ste 205, Tacoma, WA 98405-4048 | Pharmacist | 2026-05-08 |
| Rachel Ramos | 801 Ohiohealth Boulevard, Delaware, OH 43015 | Pharmacist | 2026-05-08 |
| Roshni Patel | 450 Brookline Ave, Boston, MA 02215-5418 | Pharmacist | 2026-05-08 |
| Benjamin Bimanywaruhanga | 1721 Broadway, Oakland, CA 94612-2115 | Pharmacist | 2026-05-09 |
| Lixin Eu | 6814 3rd Ave, Brooklyn, NY 11220-5803 | Pharmacist | 2026-05-09 |
| Find all providers with the same taxonomy | |||
| Street Address |
101 BODIN CIR BLDG 777 |
| City | TRAVIS AFB |
| State | CA |
| Zip Code | 94535-1809 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Keri Denise Kersey | 101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1802 | Obstetrics & Gynecology Physician | 2017-03-30 |
| Breanna Boyle | 101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809 | Student in an Organized Health Care Education/Training Program | 2026-03-30 |
| Luna Tsang | 101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809 | Student in an Organized Health Care Education/Training Program | 2023-03-06 |
| Ember Ann Skidmore | 101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809 | Pharmacist | 2021-11-01 |
| Collins Pivadga | 101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809 | Other Specialist/Technologist | 2024-09-17 |
| Dottie Elizabeth Fisher | 101 Bodin Cir Bldg 777, Fairfield, CA 94535-1809 | Lactation Consultant (Registered Nurse) | 2024-03-25 |
| Gema Argentina Raasch | 101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809 | Other Specialist/Technologist | 2024-09-26 |
| Julia Marie Barbera | 101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809 | Military Health Care Provider | 2025-05-05 |
| Emily Brown | 101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809 | Physical Therapist | 2024-11-19 |
| Mohammad Masum | 101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809 | Registered Nurse | 2024-11-21 |
| Find all providers in the same location | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Prajeet Kaza | 60 Mdg/Sgqq, 101 Bodin Circle, Travis Afb, CA 94535-1809 | Diagnostic Radiology Physician | 2019-03-30 |
| Michelle Singson · Michelle Grace Brede | 101 Bodin Cir Rm 1c600, Travis Afb, CA 94535-1809 | Pharmacist | 2019-06-24 |
| Edgardo Medina-Colon | 60 Mdg/Sgof, 101 Bodin Cir, Travis Afb, CA 94535-1809 | Clinical Social Worker | 2019-05-21 |
| Lifan Fan | 60 Mdg/Sgge, 101 Bodin Circle, Travis Afb, CA 94535-1809 | Emergency Medicine Physician | 2022-04-05 |
| Mark Russell Brown | 60 Mdg/Sggx, 101 Bodin Circle, Travis Afb, CA 94535-1809 | Internal Medicine Physician | 2022-03-02 |
| Olasunkanmi Samuel Adesemoye | 60 Mdg/ Sgcj, 101 Bodin Circle, Travis Afb, CA 94535-1809 | Critical Care Medicine Registered Nurse | 2022-07-06 |
| Yoojeong Kim Diamant | 60 Mdg/Sgxf, 101 Bodin Circle, Travis Afb, CA 94535-1809 | Family Nurse Practitioner | 2020-04-04 |
| Rebecca Kerber | 101 Bodin Cir Rm 3a227, Travis Afb, CA 94535-1809 | Case Management Registered Nurse | 2024-11-20 |
| James Hickman | 60 Mdg/Sgpq, 101 Bodin Circle, Travis Afb, CA 94535-1809 | Audiologist | 2021-07-14 |
| Kristin L Giles | 60 Mdg / Sgxp, 101 Bodin Circle, Travis Afb, CA 94535-1809 | Independent Duty Medical Technicians | 2025-01-06 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Beth J Mcgraw | 101 Bodin Cir, Travis Afb, 60 Mdos Sgoh, Fairfield, CA 94535 | Mental Health Counselor | 2006-10-12 |
| Rasoul Scholz | 60mdg, 101 Bodin Circle, Travis Afb, CA 94535 | Anesthesiology Physician | 2006-08-22 |
| Sanaz Ziad | 60mdg/Mdts, 101 Bodin Circle, Travis Afb, CA 94535 | Pharmacist | 2018-02-06 |
| James Lance Rounkles | Dgmc: Jimhu/4e, 101 Bodin Cr., Travis Air Force Base, CA 94535 | Psychiatric/Mental Health Registered Nurse | 2025-10-21 |
| Heath Jacob Sommer | 60 Mdos/Sogw, Travis Afb, CA 94535 | Clinical Psychologist | 2010-03-08 |
| Thomas Anthony Heafner | 60 Mdg/60 Sgcs/Sgch, 101 Bodin Cir, Travis Afb, CA 94535 | Vascular Surgery Physician | 2011-06-09 |
| Lucas Paul Neff | Travis Afb, 60 Msgs/Sgcqg, David Grant Medical Center, 101 Bodin Circle, Bldg 777, Apo, AA 94535 | Surgery Physician | 2007-11-13 |
| Catherine Hernandez | 1 Bodin Circle, Travis Afb, CA 94535 | Basic Emergency Medical Technician | 2015-02-03 |
| Marquise Westbrook | 60 Mdg/Sgomb, 101 Bodin Circle, Travis Afb, CA 94535 | Internal Medicine Physician | 2019-06-11 |
| David Crago | 60 Mdos/Sgow, 101 Bodin Circle, Travis Afb, CA 94535 | Psychologist | 2016-03-18 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Anh Phan Dmd PC | 6458 Tupelo Dr Ste A, Citrus Heights, CA 95621-1704 | General Practice Dentistry | 2026-05-04 |
| Thanh Phan Dat Vu | 2201 Hempstead Tpke, East Meadow, NY 11554-1859 | Student in an Organized Health Care Education/Training Program | 2026-04-14 |
| Thanh Phan | 1855 N Stapley Dr, Mesa, AZ 85203-3002 | Family Nurse Practitioner | 2026-02-06 |
| An-Vi Duc Phan | 2420 Plymouth St, Marion, IA 52302-5300 | Student in an Organized Health Care Education/Training Program | 2026-03-19 |
| Valerie Phan · Shasta Phan | 3261 Dutton Ave, Santa Rosa, CA 95407-7891 | Social Worker | 2026-05-04 |
| Ann Phan | 301 Prospect Ave, Syracuse, NY 13203-1899 | Student in an Organized Health Care Education/Training Program | 2026-04-13 |
| Tai Phan · Jimmy Phan | 2477 Fm 1488 Rd Apt 921, Conroe, TX 77384-4398 | Student in an Organized Health Care Education/Training Program | 2026-03-25 |
| Cong-Bao Phan | 1441 N Beckley Ave, Dallas, TX 75203-1201 | Student in an Organized Health Care Education/Training Program | 2026-04-02 |
| John Phan | 301 Memorial Pkwy, Daytona Beach, FL 32117 | Pharmacist | 2026-04-10 |
| Tu Anh Phan | 600 W Grand Ave, Porterville, CA 93257-2029 | School Psychologist | 2026-03-13 |
Do you have more infomration about Quy T Phan? Please fill in the following form.
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 |
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. |