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

Kelly D Phan

Individual provider Pharmacist · NPI 1306400783

Kelly D Phan is a Pharmacist in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

2514 Berryessa Rd
San Jose, CA 95132-2947
Phone: (408) 272-1431
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 64703 (CA)

Record details

NPI number1306400783
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 1, 2019
Last updated in NPPESMay 1, 2019

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