Active NPI
Paulina Tuyet Phan, PHARMD
- Pharmacist
- Avon, IN
National Provider Identifier
1881119915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26027317A
- Practice address
- 7975 E US Highway 36
Avon, IN 46123-7975 - Phone
- (317) 272-5563
- NPI assigned
- Aug 9, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 26027317A | IN | Primary |
Addresses
Primary practice location
7975 E US Highway 36
Avon, IN 46123-7975
Mailing address
7975 E US Highway 36
Avon, IN 46123-7975
Other practice location 1
7975 E US Highway 36
Avon, IN 46123-7975
Phone (317) 272-5563
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26027317A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1881119915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7975 E US HIGHWAY 36",
"city": "AVON",
"state": "IN",
"postal_code": "461237975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7975 E US HIGHWAY 36",
"city": "AVON",
"state": "IN",
"postal_code": "461237975",
"telephone_number": "317-272-5563"
}
],
"practiceLocations": [
{
"address_1": "7975 E US Highway 36",
"address_purpose": "LOCATION",
"city": "Avon",
"state": "IN",
"postal_code": "461237975",
"country_code": "US",
"telephone_number": "317-272-5563",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAN",
"first_name": "PAULINA",
"middle_name": "TUYET",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26027317A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon, IN
- Elissa Renae Pennington
- Peterson Psychiatric Services, LLC
- Valerie Anne Petro, P.T.
- Danielle Pfeffer, FNP
- Jennifer Pfledderer, MSW
- Judi A Phillips, MS, LMHC, LPC, NCC
- Physical Therapy, Inc (Avon Physical Therapy)
- Physiotherapy Associates Inc (Select Physical Therapy)
- Daisy Jo Lynn Pickett
- Judith Jane Pickett
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.