Phalen Family Pharmacy LTD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

263673 Issued in MN

Legal business name

PHALEN FAMILY PHARMACY LTD

Practice address

1001 Johnson Pkwy Ste B23
Saint Paul, MN 55106-3474

Phone

(651) 209-9000

Fax

(651) 209-9009

NPI assigned

Apr 5, 2011

Organization subpart

No

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

Authorized official

Name

May Xia LoNPI 1659384113

Title

Pharmacist/ Owner

Phone

(612) 807-0269

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Phalen Family Pharmacy Ltd Doing business as

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

Tax ID family

Phalen Family Pharmacy LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Phalen Family Pharmacy LTD

  • Long Term Care Pharmacy
  • Saint Paul, MN
  • NPI 1356128094
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• May Xia Lo, PHARMD

  • Pharmacist
  • Saint Paul, MN
  • NPI 1659384113
  NPD Authorized official
• Cheng Seng Lo, PHARM.D.

  • Pharmacist
  • Saint Paul, MN
  • NPI 1861424681
  NPD
• Maiyia Lor Yang, NP-C

  • Family Nurse Practitioner
  • Saint Paul, MN
  • NPI 1891067005
  NPD (past)

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571443200000",
    "number": "1972892438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 JOHNSON PKWY # B23",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551063474",
            "telephone_number": "651-209-9000",
            "fax_number": "651-209-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 JOHNSON PKWY STE B23",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551063474",
            "telephone_number": "651-209-9000",
            "fax_number": "651-209-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHALEN FAMILY PHARMACY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2019-10-19",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "MAY",
        "authorized_official_middle_name": "XIA",
        "authorized_official_title_or_position": "PHARMACIST/ OWNER",
        "authorized_official_telephone_number": "612-807-0269"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "263673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2430736",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phalen Family Pharmacy Ltd",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Phalen Family Pharmacy Ltd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary Walker Pflipsen, MA, LADC
• Teena Pflum
• Inpaeng Phady, PCA
• Cynthia Naia Phaerion, LPC
• Phalen Family Pharmacy LTD
• Maly Phaly
• Andrew Pham
• Camelia Pham, DDS
• Charmiqua Audrelle Pham
• Dang Hong Pham

• Community/Retail Pharmacy in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.