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

Timothy Van Phan

Individual provider Pharmacist · NPI 1043726086

Timothy Van Phan is a Pharmacist in Antioch, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

4501 Sand Creek Rd
Antioch, CA 94531-8687
Phone: (925) 813-6500
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 77739 (CA)

Record details

NPI number1043726086
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 28, 2017
Last updated in NPPESDecember 28, 2017
Mailing address4595 Winona Ave, San Diego, CA 92115-3332

Other providers in Antioch