Active NPI
Mallory Yan
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Phoenix, AZ
National Provider Identifier
1982598918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- S027271
- Practice address
- 1300 N 12TH St
Phoenix, AZ 85006-2848 - Phone
- (650) 392-9225
- NPI assigned
- Jun 4, 2025
- Sex
- Unspecified or another gender identity
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | S027271 | AZ | Primary |
Addresses
Primary practice location
1300 N 12TH St
Phoenix, AZ 85006-2848
Mailing address
777 E Stella LN Apt 426
Phoenix, AZ 85014-0016
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S027271 | AZ | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748995200000",
"number": "1982598918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 E STELLA LN APT 426",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850140016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N 12TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062848",
"telephone_number": "650-392-9225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAN",
"first_name": "MALLORY",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-06-04",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "AZ",
"license": "S027271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.