MR. BRIAN PHAN (NPI# 1427064419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427064419 |
| Entity Type | Individual |
| Full Name | MR. BRIAN PHAN |
| Credential | RPH |
| Practice Address |
13055 W Mcdowell Rd Bldg E Ste 103 Avondale AZ 85392-6457 |
| Practice Telephone | 6235355822 |
| Practice Fax Number | 6235359711 |
| Mailing Telephone | 6235355822 |
| Mailing Fax Number | 6235359711 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2008-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 010648 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699818138 | Brian Thanh Phan | Dentist | 16011 Emerald Briar Ln., Houston, TX 77084 | 2007-02-15 |
| 1366920894 | Brian Vu Phan | Pharmacist | 1740 W Taylor St, Chicago, IL 60612-7232 | 2018-08-06 |
| 1487167565 | Brian Gia Son Phan | Dentist | 13831 Nw Cornell Rd, Portland, OR 97229-5485 | 2017-11-10 |
| 1104150747 | Brian X Phan | Pharmacist | 30116 Eigenbrodt Way, Union City, CA 94587-1225 | 2009-09-30 |
| Street Address |
13055 W MCDOWELL RD BLDG E STE 103 |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85392-6457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730171760 | Jennifer O'neill | Surgery | 13055 W Mcdowell Rd, Building E Suite E-101, Avondale, AZ 85392 | 2005-08-16 |
| 1508303082 | Lauren Best | Physical Therapist | 13055 W Mcdowell Rd, Suite G-107, Avondale, AZ 85392-6449 | 2017-01-23 |
| 1467818153 | Martha Mason | Counselor | 13055 W Mcdowell Rd, Suite G-112, Avondale, AZ 85392-6449 | 2016-01-11 |
| 1588039531 | Allyson Barry | Marriage & Family Therapist | 13055 W Mcdowell Rd, Suite G-112, Avondale, AZ 85392-6449 | 2015-12-02 |
| 1114335353 | Dustin Marley | Physician Assistant | 13055 W Mcdowell Rd, Building E, Ste 109, Avondale, AZ 85392-6449 | 2014-07-31 |
| 1295070076 | Rebekah Suzanne Gibbs | Physical Therapist | 13055 W Mcdowell Rd, #g-107, Avondale, AZ 85392-6449 | 2012-12-04 |
| 1730432188 | Kidscope LLC | Clinic/Center | 13055 W Mcdowell Rd, Suite G-112, Avondale, AZ 85392-6449 | 2012-10-23 |
| 1144503699 | Dialysis Newco Inc | Clinic/Center | 13055 W Mcdowell Rd, Suite 101f, Avondale, AZ 85392-6449 | 2011-09-21 |
| 1013204460 | Aaron Michael Spivey | Physical Therapist | 13055 W Mcdowell Rd, Suite G-107, Avondale, AZ 85392-6449 | 2011-07-06 |
| 1841444734 | Miranda Gruenberg | Physician Assistant | 13055 W Mcdowell Rd, Suite E-106, Avondale, AZ 85392-6449 | 2008-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100063 | Arizona Imaging Center, LLC | Radiology | 10825 W Mcdowell Rd Suite 130, Avondale, AZ 85392 | 2020-10-02 |
| 1376159053 | Quick Med Center LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 100, Avondale, AZ 85392 | 2020-09-18 |
| 1225641046 | Ambulatory Surgery Centers, LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 110, Avondale, AZ 85392 | 2020-08-31 |
| 1144842394 | National Cardiovascular Surgery Center, LLC | Clinic/Center | 10825 W Mcdowell Rd, Suite 310, Avondale, AZ 85392 | 2020-05-11 |
| 1073077145 | Lakeview Dentistry P.C., Inc. | Dentist | 10750 W. Mcdowell Road, Bldg. D410, Avondale, AZ 85392 | 2019-01-23 |
| 1699249458 | Elaine Van De Wille | Student in an Organized Health Care Education/Training Program | 3609 N 109th Ave, Avondale, AZ 85392 | 2019-01-15 |
| 1750890075 | West Valley Pediatrics | Nurse Practitioner | 10750 West Mcdowell Rd, Suite G700, Avondale, AZ 85392 | 2017-09-29 |
| 1336675305 | Hope-ann Kamler | Licensed Practical Nurse | 2150 North Santa Fe Blvd, Avondale, AZ 85392 | 2017-05-11 |
| 1790237527 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 10285 West Mcdowell Rd, Ste A-102, Avondale, AZ 85392 | 2016-10-27 |
| 1063969137 | Lorri Ward | Registered Nurse | 12750 W Coronado Rd, Avondale, AZ 85392 | 2016-09-07 |
| Find all providers in zip 85392 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316486905 | Hong Tran | Pharmacist | 173 June Dr., Avondale, LA 70094 | 2017-02-16 |
| 1124400973 | Erik Kirakosyan | Pharmacist | 10350 W Mcdowell Rd Apt 1211, Avondale, AZ 85392-4814 | 2015-06-28 |
| 1588913198 | Sean Martin Whalen | Pharmacist | 160 Candlewyck, Avondale, PA 19311 | 2012-08-29 |
| 1811272313 | Andrew Tamin | Pharmacist | 600 Gap-newport Pike, Avondale, PA 19311 | 2011-10-15 |
| 1225311509 | Alisha Blue-patterson | Pharmacist | 2800 Highway 90 W, Avondale, LA 70094-2781 | 2011-09-23 |
| 1710269915 | Karen Tarbotton | Pharmacist | 302 Industrial Dr, Avondale, PA 19311 | 2011-09-13 |
| 1609002948 | Lameck Nyakweba | Pharmacist | 10750 W Mcdowell Rd Bldg A, Avondale, AZ 85392-5960 | 2009-06-01 |
| 1740414937 | Lawrence Jackson Jr. | Pharmacist | 3700 Devereaux Ct, Avondale, LA 70094-2589 | 2009-05-04 |
| 1962627646 | Michelle Harris | Pharmacist | 320 Layman St, Avondale, LA 70094-2562 | 2007-04-16 |
| 1508995994 | Keith Freal Van Heise | Pharmacist | 12906 W Wilshire Dr, Avondale, AZ 85323-7134 | 2007-03-03 |
| Find all providers in AVONDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.