MARY PHAN
NPI 1205618543
Pharmacist in Kearny, NJ

Active since October 20, 2023
465 KEARNY AVE, KEARNY, NJ 07032(201) 428-2376 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mary Phan NPPES

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

MARY PHAN (NPI 1205618543) is an individual pharmacist in Kearny, New Jersey, licensed in New Jersey (28RI04339000) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1205618543
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMARY PHAN
Location Address465 KEARNY AVEKearny, NJ 07032-2702
Mailing Address129 Smallwood AveBelleville, NJ 07109-1330
Sole ProprietorNo
Enumeration DateOctober 20, 2023
NPPES CertifiedOctober 20, 2023
NPI 1205618543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NJ · 28RI04339000
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.
465 KEARNY AVE, Kearny, NJ 07032

Other Providers at the Same Location NPPES 6

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

Pharmacist
465 KEARNY AVE
KEARNY, NJ 07032
Pharmacist
465 KEARNY AVE
KEARNY, NJ 07032
Pharmacy
465 KEARNY AVE
KEARNY, NJ 07032
Licensed Practical Nurse
465 KEARNY AVE
KEARNY, NJ 07032
Pharmacist
465 KEARNY AVE
KEARNY, NJ 07032
Licensed Practical Nurse
465 KEARNY AVE
KEARNY, NJ 07032

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 Mary Phan's NPI number?

The NPI number for Mary Phan is 1205618543. It was assigned to this individual provider in the NPPES registry on October 20, 2023.

Where is Mary Phan located?

Mary Phan practices at 465 Kearny Ave, Kearny, NJ 07032. The listed phone number is (201) 428-2376.

What is Mary 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 Mary Phan was last updated on October 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.