Active NPI
Francis Phan, PHARM.D.
- Pharmacist
- Yuma, AZ
National Provider Identifier
1063995603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S023561
- Practice address
- 1555 S Avenue B
Yuma, AZ 85364-4324 - Phone
- (928) 819-0208
- NPI assigned
- Sep 10, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | S023561 | AZ | Primary |
Addresses
Primary practice location
1555 S Avenue B
Yuma, AZ 85364-4324
Mailing address
1334 S Avenue B Apt 140
Yuma, AZ 85364-3588
Phone (951) 291-7294
Other practice location 1
6006 N 67th Ave
Glendale, AZ 85301-4902
Phone (623) 939-7571
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S023561 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona CVS Stores LLC | Past | Accepting new patients | |
| Arizona CVS Stores LLC | Past | Accepting new patients |
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": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1063995603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1334 S AVENUE B APT 140",
"city": "YUMA",
"state": "AZ",
"postal_code": "853643588",
"telephone_number": "951-291-7294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 S AVENUE B",
"city": "YUMA",
"state": "AZ",
"postal_code": "853644324",
"telephone_number": "928-819-0208"
}
],
"practiceLocations": [
{
"address_1": "6006 N 67th Ave",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853014902",
"country_code": "US",
"telephone_number": "623-939-7571",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAN",
"first_name": "FRANCIS",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-10",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S023561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.