Michaele Xuan-Anh Phan, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

051305463 Issued in IL

Practice address

19550 Governors Hwy Ste 3300
Flossmoor, IL 60422-2125

Phone

(708) 915-7471

NPI assigned

Apr 11, 2025

Last updated

Apr 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1285429134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N WABASH AVE APT 4910",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606117681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 GOVERNORS HWY STE 3300",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222125",
            "telephone_number": "708-915-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "MICHAELE",
        "middle_name": "XUAN-ANH",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051305463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF PHARMACY",
            "identifier": "30622",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS BOARD OF PHARMACY",
            "identifier": "051305463",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EpicHyperspace",
            "affiliation": "N",
            "address_1": "19550 Governors Hwy Ste 3300",
            "city": "Flossmoor",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604222125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael R Peck, M.D.
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• Performance Dental Care (7-7 Dental of Flossmoor)
• Cressa K Perish, M.D.
• Carmella B Perry, DDS
• Catherine Phillips, MS, RDN, LDN
• Physicals Plus, Inc
• Lata Pillai, PT, CLT-LANA
• Yolanda Lea Pinkney, LPC
• Pioneer Concepts Inc (Flossmoor Terrace)

• Pharmacist in Flossmoor, IL
• Providers in Flossmoor, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.