Active NPI
Katie Phan
- Pharmacist
- Battle Creek, MI
National Provider Identifier
1285030882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302039884
- Practice address
- 5700 Beckley Rd
Battle Creek, MI 49015-4189 - Phone
- (269) 979-0778
- NPI assigned
- Nov 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 5302039884 | MI | Primary |
Addresses
Primary practice location
5700 Beckley Rd
Battle Creek, MI 49015-4189
Mailing address
5700 Beckley Rd
Battle Creek, MI 49015-4189
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 |
|---|---|---|---|
| 5302039884 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495584000000",
"number": "1285030882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 BECKLEY RD",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490154189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 BECKLEY RD",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490154189",
"telephone_number": "269-979-0778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "KATIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-08",
"last_updated": "2017-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302039884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Battle Creek, MI
- Kara Lynn Ellen Peterson, FNP
- Katherine Fay Peterson, PH.D.
- Sarah Peterson
- Amy Pew, PA-C CAQ-PSYCH PMH-C
- Ashley Nichole Pfeuffer, RN AND SNM
- Trevor Joseph Phelps
- Brigetta Jeane Phillips-Freeman, TLLP
- Brad Allen Phillips, PHYSICAL THERAPIST A
- Physician Hospital Organization of Battle Creek
- Physicians Center of Physical Medicine P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.