Anh Phuong Van, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

19063-40 Issued in WI

Practice address

1919 W North Ave
Milwaukee, WI 53205-1155

Phone

(414) 374-0000

NPI assigned

Aug 23, 2017

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

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hayat Pharmacy 5 LLC

  • Community/Retail Pharmacy
  • Milwaukee, WI
  • NPI 1114224649
  NPD (past)

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1679090567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2564 N 124TH ST APT 410",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 W NORTH AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532051155",
            "telephone_number": "414-374-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN",
        "first_name": "ANH",
        "middle_name": "PHUONG",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "19063-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Van Thiel, MSW, LCSW
• Scott Erwin Van Valin, MD
• Scott Van Why, MD
• Rachael Diane Van Winkle, RN, IBCLC
• Sarah A Van Winkle, P.T.
• Ian Vanantwerp, DO
• Elizabeth M Vanasten, APNP
• Haley Vanbeek
• Stephen Thaddeus Vanblarcom, MD
• Vance Care LLC

• Pharmacist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.