Active NPI
Hanna Phan, PHARM.D., BCPS
- Pharmacist
- Tucson, AZ
National Provider Identifier
1174745319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302032705
- Practice address
- 1295 North Martin Ave
Tucson, AZ 85743 - Phone
- (520) 626-0050
- Fax
- (520) 626-7355
- NPI assigned
- May 3, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S106950 | AZ | |
| Pharmacist | 183500000X | 5302032705 | MI | Primary |
| Pharmacist | 183500000X | 03127770 | OH | |
| Pharmacotherapy Pharmacist | 1835P1200X | 3091082 BCPS CERT | AZ |
Addresses
Primary practice location
1295 North Martin Ave
Tucson, AZ 85743
Mailing address
1295 North Martin Ave
Tucson, AZ 85743
Phone (520) 626-0050
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 |
|---|---|---|---|
| S106950 | AZ | MD | Pharmacist |
| 5302032705 | MI | MD | Pharmacist |
| 03127770 | OH | MD | Pharmacist |
| 3091082 BCPS CERT | AZ | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Arizona | 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.
-
- Clinic Pharmacy
- Tucson, AZ
- NPI 1730295684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380499200000",
"number": "1174745319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1295 NORTH MARTIN AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85743",
"telephone_number": "520-626-0050",
"fax_number": "520-626-7355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1295 NORTH MARTIN AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85743",
"telephone_number": "520-626-0050",
"fax_number": "520-626-7355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "HANNA",
"name_prefix": "Dr.",
"credential": "PHARM.D., BCPS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2013-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S106950",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302032705",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03127770",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "AZ",
"license": "3091082 BCPS CERT",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.