- Practice location
- 465 Kearny Ave, Kearny, NJ 07032-2702
- Phone
- 201-428-2376
- Fax
- —
- Last updated
- October 20, 2023
Mary Phan is a Pharmacist based in Kearny, NJ. Mary Phan practices in Kearny, NJ. The NPI Number for Mary Phan is 1205618543 and holds a License No. 28RI04339000 (NJ). The current practice location address for Mary Phan is 465 Kearny Ave, Kearny, NJ 07032-2702 and can be reached out via phone at 201-428-2376.
Provider Profile Details
- NPI Number
- 1205618543
- Provider Name
- Mary Phan
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 465 Kearny Ave, Kearny, NJ 07032-2702
- Phone Number
- 201-428-2376
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 20, 2023
- Last Update Date
- October 20, 2023
- Certification Date
- October 20, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 465 Kearny Ave
Kearny, NJ 07032-2702 - City
- Kearny
- State
- New Jersey
- Zip
- 07032-2702
- Phone Number
- 201-428-2376
Provider Business Mailing Address Details
- Address
- 129 Smallwood Ave
Belleville, NJ 07109-1330 - City
- Belleville
- State
- NJ
- Zip
- 07109-1330
License Information
- License Number
- 28RI04339000
- License State
- NJ
- Taxonomy
- Pharmacist · 183500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacists near Kearny, NJ
View all Pharmacists in Kearny →Frequently Asked Questions
What is the NPI number of Mary Phan?
The NPI number of Mary Phan is 1205618543. It was assigned on October 20, 2023 and is currently active in the NPPES registry.
What is the specialty of Mary Phan?
Mary Phan is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI04339000.
Where does Mary Phan practice?
The practice location is 465 Kearny Ave, Kearny, NJ 07032-2702. The office can be reached at 201-428-2376 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205618543 directly on the NPPES registry website.