Individual provider Active NPI

June Phan, RPH

  • Pharmacist
  • Orlando, FL
National Provider Identifier
1417563198
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS61545 Issued in FL
Practice address
13700 E Colonial Dr
Orlando, FL 32826-4962
Phone
(407) 382-9291
NPI assigned
Sep 18, 2020
Last updated
Sep 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS61545 FL Primary

Addresses

Primary practice location

13700 E Colonial Dr
Orlando, FL 32826-4962

Mailing address

13700 E Colonial Dr
Orlando, FL 32826-4962
Phone (407) 382-9291

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address rxm.6030@store.walgreens.com Direct
Other URL rxm.06030@store.walgreens.com Other
Other URL rxm.06030@store.walgreens.com Other

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS61545FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1417563198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264962",
            "telephone_number": "407-382-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264962",
            "telephone_number": "407-382-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "JUNE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS61545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxm.6030@store.walgreens.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "13700 E Colonial Dr",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328264962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rxm.06030@store.walgreens.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Business Email",
            "address_1": "13700 E Colonial Dr",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328264962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rxm.06030@store.walgreens.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Walgreens Store Manager",
            "address_1": "13700 E Colonial Dr",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328264962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.