Jackie Hang Phan, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

S010547 Issued in AZ

Practice address

6750 W Thunderbird Rd
Peoria, AZ 85381-5026

Phone

(623) 209-0870

NPI assigned

Jul 25, 2025

Last updated

Jul 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phat Dai Tai LLC

  dba Xpress Care Pharmacy

  • Community/Retail Pharmacy
  • Phoenix, AZ
  • NPI 1053616581
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1043193394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19801 N 59TH AVE UNIT 10127",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853185007",
            "telephone_number": "623-826-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 W THUNDERBIRD RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815026",
            "telephone_number": "623-209-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "JACKIE",
        "middle_name": "HANG",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S010547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• L Staffan Pettersson, MD
• Jamie Petze
• Nadisha Pfaff, FNP
• Kimberly Thanh Pham
• Tai Pham, PHARMACIST
• Thanh Hoang Phan, DDS
• Pharmatek Pharmacy Inc
• Barrett Phifer, RN
• Sarah Philbee
• Presley Philbrook

• Pharmacist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.