NPI age
14 years
Enumerated 2011-09-25
● Active
Type 1 · Individual
Tommy Phan
Phan is 1 of 15 pharmacist providers in Lake Worth and 1 of 18509 in Texas.
Primary specialty
Pharmacist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-09-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 18509 active pharmacist providers in Texas.
NPI age
14 years
↑ 7 yr above median (7 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties
NPI lifetime · 2011 → 2026
2011-09Enumerated in NPPES
2011
2026
Where they practice
Practice location
6244 Lake Worth Blvd
Lake Worth, TX 761353705
Mailing address
3332 Kimberly Ln
Grand Prairie, TX 750527041
Specialties
-
Pharmacist PrimaryAn 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,...
Practice context
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.