Individual provider Active NPI

Annie Phan, PHARMD

  • Pharmacist
  • Houston, TX
National Provider Identifier
1972260214
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
64143 Issued in TX
Practice address
9440 Bellaire Blvd Ste 110
Houston, TX 77036-4558
Phone
(832) 849-1660
NPI assigned
Nov 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 64143 TX Primary

Addresses

Primary practice location

9440 Bellaire Blvd Ste 110
Houston, TX 77036-4558

Mailing address

9440 Bellaire Blvd Ste 110
Houston, TX 77036-4558
Phone (832) 849-1660

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@faqrx.com Health Information Exchange (HIE)

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
64143TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Care Med Group, LLC CurrentSince Nov 28, 2021 Accepting new patients

Locations

9440 Bellaire Blvd
Ste 110
Houston, TX 77036
Phone (832) 849-1660

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1972260214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9440 BELLAIRE BLVD STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364558",
            "telephone_number": "832-849-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 BELLAIRE BLVD STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364558",
            "telephone_number": "832-849-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "ANNIE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "64143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@faqrx.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9440 Bellaire Blvd Ste 110",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770364558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.