Active NPI
Tuan Phan, PHARMD
- Pharmacist
- Federal Way, WA
National Provider Identifier
1275180168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60965846
- Practice address
- 1207 S 320TH St
Federal Way, WA 98003-5379 - Phone
- (253) 946-1505
- NPI assigned
- Aug 25, 2019
- Last updated
- Jun 27, 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 | 183500000X | PH60965846 | WA | Primary |
Addresses
Primary practice location
1207 S 320TH St
Federal Way, WA 98003-5379
Mailing address
3714 SW 332ND PL
Federal Way, WA 98023-2922
Phone (206) 375-7651
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 |
|---|---|---|---|
| PH60965846 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1275180168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3714 SW 332ND PL",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980232922",
"telephone_number": "206-375-7651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 S 320TH ST",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980035379",
"telephone_number": "253-946-1505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "TUAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-25",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60965846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.