Active NPI
Chris H Phung, RPH
- Pharmacist
- Montgomery, AL
National Provider Identifier
1598863235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12396
- Practice address
- 35 Mitchell Dr
Montgomery, AL 36109-2923 - Phone
- (334) 272-0802
- Fax
- (334) 272-0882
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- 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 | 12396 | AL | Primary |
Addresses
Primary practice location
35 Mitchell Dr
Montgomery, AL 36109-2923
Mailing address
604 Keeneland CT
Montgomery, AL 36109-4662
Phone (334) 396-7990
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12396 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598863235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 KEENELAND CT",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361094662",
"telephone_number": "334-396-7990",
"fax_number": "334-272-0882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 MITCHELL DR",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361092923",
"telephone_number": "334-272-0802",
"fax_number": "334-272-0882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHUNG",
"first_name": "CHRIS",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "12396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
- William Phillips, PHARM.D.
- Justin Wesley Phillpott, M.D.
- Phoenix Rising Therapy
- Chethana R. Phonde, M.D.
- Chiangchanh Phothisane, PHARMD
- Physicians Choice Dialysis of Alabama LLC (Physicians Choice Dialysis - Montgomery)
- Physicians Choice Dialysis of Alabama LLC (Physicians Choice Dialysis - East Montgomery)
- Physicians Choice Dialysis of Montgomery LLC
- Physicians for Women
- Physicians Making House Calls, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.