Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek Phan

Individual provider Pharmacist · NPI 1124552252

Derek Phan is a Pharmacist in Oakland, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3701 Broadway
Oakland, CA 94611-5613
Phone: (510) 752-4148
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 75061 (CA)

Record details

NPI number1124552252
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 15, 2017
Last updated in NPPESApril 15, 2017
Mailing address3701 Broadway, Oakland, CA 94611-5613

Other providers in Oakland