JACKIE HANG PHAN PHARMACIST
NPI 1043193394
Pharmacist in Peoria, AZ

Active since July 25, 2025
6750 W THUNDERBIRD RD, PEORIA, AZ 85381(623) 209-0870 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackie Hang Phan Pharmacist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE HANG PHAN PHARMACIST (NPI 1043193394) is an individual pharmacist in Peoria, Arizona, licensed in Arizona (S010547) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1043193394
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameJACKIE HANG PHANCredential: PHARMACIST
Location Address6750 W THUNDERBIRD RDPeoria, AZ 85381-5026
Mailing Address19801 N 59th Ave Unit 10127Glendale, AZ 85318-5007 · (623) 826-7748
Sole ProprietorYes
Enumeration DateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
NPI 1043193394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in AZ · S010547
Definition
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.
6750 W THUNDERBIRD RD, Peoria, AZ 85381

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
6750 W THUNDERBIRD RD
PEORIA, AZ 85381
Family Medicine
6750 W THUNDERBIRD RD, B104
PEORIA, AZ 85381
Durable Medical Equipment & Medical Supplies (Customized Equipment)
6750 W THUNDERBIRD RD, SUITE 106
PEORIA, AZ 85381

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Phan's NPI number?

The NPI number for Jackie Phan is 1043193394. It was assigned to this individual provider in the NPPES registry on July 25, 2025.

Where is Jackie Phan located?

Jackie Phan practices at 6750 W Thunderbird Rd, Peoria, AZ 85381. The listed phone number is (623) 209-0870.

What is Jackie Phan's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jackie Phan was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.