Xuan H Phan, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS58000 Issued in FL

Practice address

709 E 3Rd Ave FL 32169
New Smyrna Beach, FL 32169-3101

Phone

(386) 428-6465

NPI assigned

Aug 3, 2018

Last updated

Aug 3, 2018By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1326526039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2569 EIFFEL CIR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32210",
            "telephone_number": "904-240-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 E 3RD AVE FL 32169",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321693101",
            "telephone_number": "386-428-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "XUAN",
        "middle_name": "H",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS58000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Penland, DMD
• Miranda Kavita Persaud, PA-C
• Judy A Pfister, LMT
• William Henry Pflugfelder III, RPH
• David Dang Pham, PHARMD
• Lindsey Pickard
• Jared Pieniazek, DO
• Keniel Felix Pierre, M.D.
• Kelly Pinney, LPN
• Pioneer Chiropractic PLLC

• Pharmacist in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.