Active NPI
Bryan Thanh Phan
- Pharmacist
- Houston, TX
National Provider Identifier
1225051733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 51263
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 51263 | TX | MD | Pharmacist |
| RPH57094 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BPTN Investment Series LLC | Current | Accepting new patients | |
| BPTN Investment Series LLC | Current | Accepting new patients | |
| Texans People Pharmacy and Wellness Ctr, LLC | Current | 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.
-
- Community/Retail Pharmacy
- Cypress, TX
- NPI 1376176735
-
- Community/Retail Pharmacy
- Cypress, TX
- NPI 1841822483
-
- Community/Retail Pharmacy
- Houston, TX
- NPI 1174609994
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.