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

Kenny Phan

Individual provider Pharmacist · NPI 1285334912

Kenny Phan is a Pharmacist in Pomona, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

4165 Faircove Ct
Pomona, CA 91766-4636
Phone: (909) 306-4624
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 84548 (CA)

Record details

NPI number1285334912
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 9, 2023
Last updated in NPPESMarch 9, 2023
Certification dateMarch 9, 2023
Mailing address4165 Faircove Ct, Pomona, CA 91766-4636

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