Active NPI
Sangho Han
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Peoria, AZ
National Provider Identifier
1174364780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- S026998
- Practice address
- 25401 N Lake Pleasant Pkwy
Peoria, AZ 85383-1351 - Phone
- (623) 235-2360
- NPI assigned
- Jun 6, 2024
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | S026998 | AZ | Primary |
Addresses
Primary practice location
25401 N Lake Pleasant Pkwy
Peoria, AZ 85383-1351
Mailing address
14221 W Hackamore Dr
Surprise, AZ 85387-1940
Phone (972) 603-6685
Other practice location 1
11701 W Lone Mountain Pkwy
Peoria, AZ 85383-8164
Phone (480) 372-2045
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 |
|---|---|---|---|
| S026998 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smiths Food & Drug Centers Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Peoria, AZ
- NPI 1942756812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1174364780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14221 W HACKAMORE DR",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853871940",
"telephone_number": "972-603-6685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25401 N LAKE PLEASANT PKWY",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853831351",
"telephone_number": "623-235-2360"
}
],
"practiceLocations": [
{
"address_1": "11701 W Lone Mountain Pkwy",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853838164",
"country_code": "US",
"telephone_number": "480-372-2045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAN",
"first_name": "SANGHO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-06",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "AZ",
"license": "S026998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.