ADDISON PHAN PHARM.D.
NPI 1396111407
Pharmacist in Gulfport, MS

Active since August 12, 2015
2433 25TH AVE, GULFPORT, MS 39501(228) 563-6886 Get Directions Write a Review

NPPES record last updated: August 12, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Addison Phan Pharm.d. NPPES

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

ADDISON PHAN PHARM.D. (NPI 1396111407) is an individual pharmacist in Gulfport, Mississippi, licensed in Mississippi (E-13961) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1396111407
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameADDISON PHANCredential: PHARM.D.
Location Address2433 25TH AVEGulfport, MS 39501-4525
Mailing Address10122 Fournier AveDiberville, MS 39540-5458 · (228) 383-4698
Sole ProprietorNo
Enumeration DateAugust 12, 2015
NPI 1396111407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MS · E-13961
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.
2433 25TH AVE, Gulfport, MS 39501

Other Providers at the Same Location NPPES 2

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

Pharmacist
2433 25TH AVE
GULFPORT, MS 39501
Pharmacist
2433 25TH AVE
GULFPORT, MS 39501

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 Addison Phan's NPI number?

The NPI number for Addison Phan is 1396111407. It was assigned to this individual provider in the NPPES registry on August 12, 2015.

Where is Addison Phan located?

Addison Phan practices at 2433 25th Ave, Gulfport, MS 39501. The listed phone number is (228) 563-6886.

What is Addison 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 Addison Phan was last updated on August 12, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.