Daniel Phan, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS65106 Issued in FL

Practice address

1455 Upper Manatee River Rd FL 34212
Bradenton, FL 34212-9702

Phone

(941) 462-1564

NPI assigned

Nov 14, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Bradenton, FL
  • NPI 1568778975
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1992413520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 UPPER MANATEE RIVER RD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342129702",
            "telephone_number": "510-599-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 UPPER MANATEE RIVER RD FL 34212",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342129702",
            "telephone_number": "941-462-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS65106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Peverini, CRNA
• Catherine L Pezzella, APRN, FNP-C
• John Andrew Pfeilsticker, M.D.
• Duc Nam Pham
• Trish Pham, PHARM.D.
• Philip S Rasulo MD PA
• Rachel Philip, DPM
• Phillips Investments, LLC - Bradenton 59TH St Operations Series
• Phillips Investments, LLC - Bradenton Cove Operations Series
• Arlinda Flores Phillips, LMHC

• Pharmacist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.