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

Dr. Jacqueline Phan

Individual provider Pharmacist · NPI 1699441279

Dr. Jacqueline Phan is a Pharmacist in Albuquerque, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2021

Practice location Address checks out

8000 Academy Rd NE
Albuquerque, NM 87111-1159
Phone: (505) 821-6008
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RP00009545 (NM)

Record details

NPI number1699441279
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 23, 2021
Last updated in NPPESAugust 23, 2021
Certification dateAugust 23, 2021
Mailing address12417 Rosemont Ave Ne, Albuquerque, NM 87112-5723

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