Phanna Chhuor, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS49361 Issued in FL

Practice address

2962 NE 199TH St
Aventura, FL 33180-3103

Phone

(305) 692-2499

NPI assigned

Nov 30, 2020

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Holiday CVS L.L.C.

  • Pharmacy
  • Wesley Chapel, FL
  • NPI 1770467466
  NPD (past)

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1083219935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2962 NE 199TH ST",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2962 NE 199TH ST",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803103",
            "telephone_number": "305-692-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHHUOR",
        "first_name": "PHANNA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS49361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chen Medical Aventura, Inc.
• Chen Neighborhood Medical Aventura, LLC
• Lea Chernoff, DDS
• Cheryl G. Aber MD PA
• Brian Cheung, MD
• Tevia Chiert, PSYD
• Children'S Diagnostic Testing Group of Aventura, Inc.
• Heather Anne Childs, LMHC
• Ana Ursula Chipollini, APRN FNP-BC PMHNP-BC
• Ravikanth Chiravuri, MD

• All providers in Aventura, FL
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.