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MIA PHAN
NPI 1609489558
Pharmacist in Stone Mountain, GA

Active since August 28, 2020
5320 MEMORIAL DR, STONE MOUNTAIN, GA 30083(404) 508-7166 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mia Phan NPPES

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

MIA PHAN (NPI 1609489558) is an individual pharmacist in Stone Mountain, Georgia, licensed in Georgia (RPH030294) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1609489558
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMIA PHAN
Location Address5320 MEMORIAL DRStone Mountain, GA 30083-3201
Mailing Address5320 Memorial DrStone Mountain, GA 30083-3201 · (404) 508-7166
Phone(404) 508-7166
Sole ProprietorNo
Enumeration DateAugust 28, 2020
NPPES CertifiedAugust 28, 2020
✔ NPI 1609489558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in GA · RPH030294
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.
5320 MEMORIAL DR, Stone Mountain, GA 30083
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Other Providers at the Same Location NPPES 7

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

WENDY WOODWARD SCHAAL NP
Nurse Practitioner
5320 MEMORIAL DR
STONE MOUNTAIN, GA 30083
Dekalb County (404) 508-6499
WALGREEN CO
Pharmacy
5320 MEMORIAL DR
STONE MOUNTAIN, GA 30083
Dekalb County (404) 508-7166
JO ANNE WOODALL APRN
Nurse Practitioner (Family)
5320 MEMORIAL DR
STONE MOUNTAIN, GA 30083
Dekalb County (866) 825-3227
NANCY GLOVER
Pharmacist
5320 MEMORIAL DR
STONE MOUNTAIN, GA 30083
Dekalb County (404) 508-7166
DR. NNEKA ANULI IZUNDU PHARM MD
Pharmacist
5320 MEMORIAL DR
STONE MOUNTAIN, GA 30083
Dekalb County (404) 508-7166
REDICLINIC LLC
Clinic/Center
5320 MEMORIAL DR
STONE MOUNTAIN, GA 30083
Dekalb County (713) 935-0333
FLORENCE UZUEGBUNAM APRN
Nurse Practitioner (Family)
5320 MEMORIAL DR
STONE MOUNTAIN, GA 30083
Dekalb County (866) 825-3227

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 Mia Phan's NPI number?

The NPI number for Mia Phan is 1609489558. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Where is Mia Phan located?

Mia Phan practices at 5320 Memorial Dr, Stone Mountain, GA 30083. The listed phone number is (404) 508-7166.

What is Mia 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 Mia Phan was last updated on August 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.