Active NPI
Miley Nhi Phan, RPH
- Pharmacy Technician
- Madison, AL
National Provider Identifier
1043068398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- S13535
- Practice address
- 7129 Wall Triana Hwy
Madison, AL 35757-7421 - Phone
- (256) 970-6451
- NPI assigned
- May 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | S13535 | AL | Primary |
Addresses
Primary practice location
7129 Wall Triana Hwy
Madison, AL 35757-7421
Mailing address
7129 Wall Triana Hwy
Madison, AL 35757-7421
Phone (256) 970-6451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S13535 | AL | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Alabama LLC | Current | Accepting new patients | |
| Publix Alabama, LLC | Past | Accepting new patients |
Locations
7129 Wall Triana Hwy
Madison, AL 35757
Phone (256) 970-6451
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715299200000",
"number": "1043068398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7129 WALL TRIANA HWY",
"city": "MADISON",
"state": "AL",
"postal_code": "357577421",
"telephone_number": "256-970-6451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7129 WALL TRIANA HWY",
"city": "MADISON",
"state": "AL",
"postal_code": "357577421",
"telephone_number": "256-970-6451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "MILEY",
"middle_name": "NHI",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-10",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "AL",
"license": "S13535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.