Brian Phan, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

010648 Issued in AZ

Practice address

13055 W McDowell Rd
BLDG E Ste 103
Avondale, AZ 85392-6457

Phone

(623) 535-5822

Fax

(623) 535-9711

NPI assigned

Jul 31, 2006

Sex

Male

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1427064419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13055 W MCDOWELL RD",
            "address_2": "BLDG E STE 103",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853926457",
            "telephone_number": "623-535-5822",
            "fax_number": "623-535-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13055 W MCDOWELL RD",
            "address_2": "BLDG E STE 103",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853926457",
            "telephone_number": "623-535-5822",
            "fax_number": "623-535-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "010648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mike Petagna, LPC
• Mariah Jean Peterson
• Nicole Suzanne Petrarca
• Mark Alan Pezzelle, P.T.A.
• Tawnya Suzanne Pfitzer, DPM
• Thihan Phan, DDS
• Bronsun Bouyasith Phengdy, PTA
• Dametria Phillips
• Phoenix Children'S Hospital, Inc.
• Phoenix Children'S Medical Group

• Pharmacist in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.