Individual provider Active NPI

Brandon Nguyen-Phan, PHARMD

  • Pharmacist
  • Warminster, PA
National Provider Identifier
1790204170
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP451952 Issued in PA
Practice address
942 W Street Rd
Warminster, PA 18974-3124
Phone
(215) 328-4707
Fax
(215) 328-8190
NPI assigned
Sep 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 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 RP451952 PA Primary

Addresses

Primary practice location

942 W Street Rd
Warminster, PA 18974-3124

Mailing address

704 Springton Cir
Upper Chichester, PA 19014-3025

Other practice location 1

704 Springton Cir
Upper Chichester, PA 19014-3025
Phone (484) 639-2470

Other practice location 2

51 Baltimore Pike
Glen Mills, PA 19342-9442
Phone (610) 358-9725

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP451952PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1505606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1790204170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 SPRINGTON CIR",
            "city": "UPPER CHICHESTER",
            "state": "PA",
            "postal_code": "190143025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 W STREET RD",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189743124",
            "telephone_number": "215-328-4707",
            "fax_number": "215-328-8190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "704 Springton Cir",
            "address_purpose": "LOCATION",
            "city": "Upper Chichester",
            "state": "PA",
            "postal_code": "190143025",
            "country_code": "US",
            "telephone_number": "484-639-2470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "51 Baltimore Pike",
            "address_purpose": "LOCATION",
            "city": "Glen Mills",
            "state": "PA",
            "postal_code": "193429442",
            "country_code": "US",
            "telephone_number": "610-358-9725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN-PHAN",
        "first_name": "BRANDON",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-17",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP451952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warminster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.