Active NPI
Eirene Hoang Uyen Phan
- Pharmacist
- Glendale, AZ
National Provider Identifier
1073484788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S027551
- Practice address
- 20205 N 67TH Ave # 100
Glendale, AZ 85308-6659 - Phone
- (623) 572-8844
- Fax
- (623) 572-8837
- NPI assigned
- Sep 16, 2025
- Last updated
- Sep 16, 2025
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | S027551 | AZ | Primary |
Addresses
Primary practice location
20205 N 67TH Ave # 100
Glendale, AZ 85308-6659
Mailing address
12375 W Vista Ave
Glendale, AZ 85307-1775
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S027551 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1073484788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12375 W VISTA AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853071775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20205 N 67TH AVE # 100",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853086659",
"telephone_number": "623-572-8844",
"fax_number": "623-572-8837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "EIRENE",
"middle_name": "HOANG UYEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-16",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S027551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
- Laurie Pfeiffer, LPC
- Cindy Huong Thu Pham, D.M.D.
- Kieuanh T Pham, R.N.
- Michael Nhan Vo Pham, PHARMACIST
- Tam Minh Pham
- Mydung T Phan, NUTRITIONIST
- Truce Phan, PHARM. D
- Phandinh Clinic-Urgent Care & Wellness Center PC (Phandinh Clinic)
- Phandinh Clinic-Urgent Care and Wellness Center PC (Phandinh Clinic - Primary Care and Wellness Center)
- Craig Matthew Phelps, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.