Individual provider Active NPI

Bryan Thanh Phan

  • Pharmacist
  • Houston, TX
National Provider Identifier
1225051733
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
51263 Issued in TX
Practice address
6609 W Sam Houston Pkwy S Ste 98B
Houston, TX 77072-1641
Phone
(713) 995-8885
Fax
(713) 776-9990
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH57094 CA
Pharmacotherapy Pharmacist 1835P1200X RPH57094 CA
Pharmacist 183500000X 51263 TX Primary

Addresses

Primary practice location

6609 W Sam Houston Pkwy S Ste 98B
Houston, TX 77072-1641

Mailing address

6609 W Sam Houston Pkwy S Ste 98B
Houston, TX 77072-1641
Phone (713) 995-8885

Other practice location 1

9798 Bellaire Blvd Ste B
Houston, TX 77036-3428
Phone (713) 995-8885

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL bryanphan@yahoo.com

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

LicenseStateTypeSpecialty
51263TXMDPharmacist
RPH57094CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
BPTN Investment Series LLC Current Accepting new patients
BPTN Investment Series LLC Current Accepting new patients
Texans People Pharmacy and Wellness Ctr, LLC CurrentSince Feb 16, 2020 Accepting new patients

Locations

9798 Bellaire Blvd
Ste B
Houston, TX 77036
Phone (713) 995-8885

6609 W Sam Houston Pkwy S
Ste 98B
Houston, TX 77072
Phone (713) 995-8885

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1225051733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 W SAM HOUSTON PKWY S STE 98B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770721641",
            "telephone_number": "713-995-8885",
            "fax_number": "713-776-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 W SAM HOUSTON PKWY S STE 98B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770721641",
            "telephone_number": "713-995-8885",
            "fax_number": "713-776-9990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9798 Bellaire Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770363428",
            "country_code": "US",
            "telephone_number": "713-995-8885",
            "fax_number": "713-776-9990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAN",
        "first_name": "BRYAN",
        "middle_name": "THANH",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "RPH57094",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CA",
            "license": "RPH57094",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "51263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bryanphan@yahoo.com",
            "affiliation": "N",
            "address_1": "6609 W Sam Houston Pkwy S Ste 98B",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770721641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.