TRUCE PHAN (NPI# 1235687112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235687112 |
| Entity Type | Individual |
| Full Name | TRUCE PHAN |
| Credential | PHARM. D |
| Practice Address |
5605 W Northern Ave Glendale AZ 85301-1332 |
| Mailing Address |
9449 W Los Gatos Dr Peoria AZ 85383-2973 |
| Practice Telephone | 6239347926 |
| Mailing Telephone | 6232218779 |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
12552 | AZ | Pharmacy Service Providers |
| Street Address |
5605 W NORTHERN AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85301-1332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326065541 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 5605 W Northern Ave, Glendale, AZ 85301-1332 | 2006-07-16 |
| 1427401165 | Joshua Whitenack | Pharmacist | 5605 W Northern Ave, Glendale, AZ 85301-1332 | 2016-07-18 |
| 1144643248 | Robert Itkoe | Pharmacist | 5605 W Northern Ave, Glendale, AZ 85301-1332 | 2014-01-24 |
| 1669894077 | Lily Ann Rodgers | Pharmacist | 5605 W Northern Ave, Glendale, AZ 85301-1332 | 2014-01-21 |
| 1124441563 | Mereon Tekleberhan | Pharmacist | 5605 W Northern Ave, Glendale, AZ 85301-1332 | 2014-01-21 |
| 1285056689 | Manoj Gopal Patel | Pharmacist | 5605 W Northern Ave, Glendale, AZ 85301-1332 | 2014-01-20 |
| 1710038799 | Kerry's Medical Inc | Durable Medical Equipment & Medical Supplies | 5605 W Northern Ave, Glendale, AZ 85301-1332 | 2007-01-16 |
| 1043391451 | Stacie L Westen Od Pllc | Optometrist | 5605 W Northern Ave, Glendale, AZ 85301-1332 | 2006-10-19 |
| 1639268873 | Stacie Lynne Hassert | Optometrist | 5605 W Northern Ave, Walmart Vision Center, Glendale, AZ 85301 | 2006-10-12 |
| 1881782837 | Walmart Stores, Inc. | Technician/Technologist | 5605 W Northern Ave, Glendale, AZ 85301-1332 | 2006-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164051900 | Stateserv Medical of Phoenix LLC | Durable Medical Equipment & Medical Supplies | 5234 W. Missouri, Glendale, AZ 85301 | 2020-04-03 |
| 1366988933 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5148 W. Frier Dr, Glendale, AZ 85301 | 2017-01-06 |
| 1306227830 | Sage Counseling, Inc. | Community/Behavioral Health | 6610 N. 47th Avenue, Suites 6, 7 & 8, Glendale, AZ 85301 | 2015-06-10 |
| 1477802023 | Lori Wyke | Specialist/Technologist | 7301 N. 58th Avenue, Glendale, AZ 85301 | 2012-08-29 |
| 1144581257 | Jerry Harold Brue | Pharmacist | 7772 N 52nd Dr, Glendale, AZ 85301 | 2012-06-05 |
| 1558632935 | Jasmine Rojas | Licensed Practical Nurse | 7301 N. 58th Ave., Glendale Elem. Dist 40, Glendale, AZ 85301 | 2012-01-18 |
| 1184950438 | Victoria Joan Petti | Physical Therapist | 5125 N. 58th Ave, Glendale, AZ 85301 | 2009-10-21 |
| 1598907479 | Westside Speech & Language Services | Clinic/Center | 7415 N. 59th Ave, Glendale, AZ 85301 | 2009-03-24 |
| 1992940241 | Lorraine Pimentel Montes | Specialist | 4441 W. Bethany Home Rd, Glendale, AZ 85301 | 2008-12-15 |
| 1770739922 | Patricia Lee Click | Social Worker | 5400 W. Northern Avenue, Suite 120, Glendale, AZ 85301 | 2008-08-07 |
| Find all providers in zip 85301 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982136354 | Paul Litsey | Pharmacist | 1447 Del Monte Dr, Glendale, CA 91207-1205 | 2017-04-03 |
| 1932688462 | Alexander John Cano | Pharmacist | 5421 W Thunderbird Rd, Glendale, AZ 85306-4751 | 2018-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309282 | Glecille Ann Salonga | Pharmacist | 10200 N 92nd St Ste 140, Scottsdale, AZ 85258-4535 | 2020-09-02 |
| 1598379034 | Robert Knight | Pharmacist | 2202 N Forbes Blvd Ste 252, Tucson, AZ 85745-1412 | 2020-09-02 |
| 1003451600 | Rebecca Reeve | Pharmacist | Tsehootsooi Medical Center, Corner of Indian Route 7 and 12, Fort Defiance, AZ 86504 | 2019-11-07 |
| 1215595681 | Lydia Ann Muller | Pharmacist | 202 N Cactus Dr Lot 41, Prescott, AZ 86303-3311 | 2019-05-31 |
| 1346769833 | Echo Fallon | Pharmacist | 5091 N Campbell Ave, Tucson, AZ 85724-0001 | 2017-09-15 |
| 1538684782 | Christine Gail Siefker | Pharmacist | 3801 Santa Rosa Dr Ste D, Kingman, AZ 86401-2311 | 2017-08-09 |
| 1710423025 | Tolefac Akem Tabang | Pharmacist | 1/2 Mile S of Mp 394.3, Kayenta Health Center, Kayenta, AZ 86033 | 2017-01-10 |
| 1164974440 | Jennifer Anne Hoiles | Pharmacist | 14257 N Lava Falls Trl, Marana, AZ 85658-4436 | 2016-11-02 |
| 1679936793 | Navela Bhuiyan | Pharmacist | 9240 E Redfield Rd Apt 243, Scottsdale, AZ 85260-3708 | 2016-04-05 |
| 1215392097 | Charity Benson | Pharmacist | Nr4 2 Miles East of Pinon, Pinon, AZ 86510 | 2015-12-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TRUCE PHAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.