Phat Tai LLC.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

010648 Issued in AZ

Legal business name

PHAT TAI LLC.

Practice address

14415 W McDowell Rd Ste D104
Goodyear, AZ 85395-2521

Phone

(623) 935-0000

NPI assigned

May 5, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Brian Phan

Title

Owner

Phone

(623) 826-7745

Specialties & licenses 1

Addresses

Other names 1

• XPRESS CARE PHARMACY Doing business as

Tax ID family

Phat Dai Tai LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Phat Dai Tai LLC

  • Community/Retail Pharmacy
  • Phoenix, AZ
  • NPI 1053616581
  NPD tax ID

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1124346861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13203 W PALO VERDE DR",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853408356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14415 W MCDOWELL RD STE D104",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952521",
            "telephone_number": "623-935-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAT TAI LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-826-7745",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "010648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "XPRESS CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brett Robert Pfeifle, D.C.
• Christine Thienhuong Pham, MD
• Phong Pham, R.PH.
• Richard Pham, D.O.
• Sylvie Pham, O.D.
• Alyssa Lorraine Phillips
• Phoenicia Dental Group PC
• Phoenicia Dental Group, PC
• Phoenix Neurology and Sleep Medicine PLLC
• Phoenix Neurology and Sleep Medicine PLLC

• Community/Retail Pharmacy in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.