PHAT TAI LLC (NPI# 1376564344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376564344 |
| Entity Type | Organization |
| Organization Name | PHAT TAI LLC |
| Other Organization Name | XPRESS CARE PHARMACY |
| Practice Address |
13055 W Mcdowell Rd Avondale AZ 85392-6449 |
| Mailing Address |
13055 W Mcdowell Rd #103 Avondale AZ 85392-6457 |
| Practice Telephone | 6235355288 |
| Mailing Telephone | 6235355822 |
| Mailing Fax Number | 6235359711 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2008-04-03 |
| Authorized Official Name | BRIAN PHAN (PHARMACIST) |
| Authorized Official Telephone | 6238267745 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 4402 | AZ | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0353336 | 01 |
| Other Name | Type Code |
|---|---|
| XPRESS CARE PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891036141 | Phat Tai LLC | Pharmacy | 2007 W Bethany Home Rd, Phoenix, AZ 85015-2444 | 2013-03-12 |
| 1457588808 | Phat Tai LLC | Pharmacy | 4290 S Miller Rd Ste 101, Buckeye, AZ 85326-6307 | 2009-06-12 |
| Street Address |
13055 W MCDOWELL RD |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85392-6449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730171760 | Jennifer O'neill | Surgery | 13055 W Mcdowell Rd, Building E Suite E-101, Avondale, AZ 85392 | 2005-08-16 |
| 1508303082 | Lauren Best | Physical Therapist | 13055 W Mcdowell Rd, Suite G-107, Avondale, AZ 85392-6449 | 2017-01-23 |
| 1467818153 | Martha Mason | Counselor | 13055 W Mcdowell Rd, Suite G-112, Avondale, AZ 85392-6449 | 2016-01-11 |
| 1588039531 | Allyson Barry | Marriage & Family Therapist | 13055 W Mcdowell Rd, Suite G-112, Avondale, AZ 85392-6449 | 2015-12-02 |
| 1114335353 | Dustin Marley | Physician Assistant | 13055 W Mcdowell Rd, Building E, Ste 109, Avondale, AZ 85392-6449 | 2014-07-31 |
| 1295070076 | Rebekah Suzanne Gibbs | Physical Therapist | 13055 W Mcdowell Rd, #g-107, Avondale, AZ 85392-6449 | 2012-12-04 |
| 1730432188 | Kidscope LLC | Clinic/Center | 13055 W Mcdowell Rd, Suite G-112, Avondale, AZ 85392-6449 | 2012-10-23 |
| 1144503699 | Dialysis Newco Inc | Clinic/Center | 13055 W Mcdowell Rd, Suite 101f, Avondale, AZ 85392-6449 | 2011-09-21 |
| 1013204460 | Aaron Michael Spivey | Physical Therapist | 13055 W Mcdowell Rd, Suite G-107, Avondale, AZ 85392-6449 | 2011-07-06 |
| 1841444734 | Miranda Gruenberg | Physician Assistant | 13055 W Mcdowell Rd, Suite E-106, Avondale, AZ 85392-6449 | 2008-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100063 | Arizona Imaging Center, LLC | Radiology | 10825 W Mcdowell Rd Suite 130, Avondale, AZ 85392 | 2020-10-02 |
| 1376159053 | Quick Med Center LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 100, Avondale, AZ 85392 | 2020-09-18 |
| 1225641046 | Ambulatory Surgery Centers, LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 110, Avondale, AZ 85392 | 2020-08-31 |
| 1144842394 | National Cardiovascular Surgery Center, LLC | Clinic/Center | 10825 W Mcdowell Rd, Suite 310, Avondale, AZ 85392 | 2020-05-11 |
| 1073077145 | Lakeview Dentistry P.C., Inc. | Dentist | 10750 W. Mcdowell Road, Bldg. D410, Avondale, AZ 85392 | 2019-01-23 |
| 1699249458 | Elaine Van De Wille | Student in an Organized Health Care Education/Training Program | 3609 N 109th Ave, Avondale, AZ 85392 | 2019-01-15 |
| 1750890075 | West Valley Pediatrics | Nurse Practitioner | 10750 West Mcdowell Rd, Suite G700, Avondale, AZ 85392 | 2017-09-29 |
| 1336675305 | Hope-ann Kamler | Licensed Practical Nurse | 2150 North Santa Fe Blvd, Avondale, AZ 85392 | 2017-05-11 |
| 1790237527 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 10285 West Mcdowell Rd, Ste A-102, Avondale, AZ 85392 | 2016-10-27 |
| 1063969137 | Lorri Ward | Registered Nurse | 12750 W Coronado Rd, Avondale, AZ 85392 | 2016-09-07 |
| Find all providers in zip 85392 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255977245 | Jefferson Community Health Care Centers Inc | Pharmacy | 3932 Highway 90 W, Avondale, LA 70094-2648 | 2019-11-25 |
| 1265906572 | Medavail Pharmacy Inc. | Pharmacy | 235 W Western Ave, Avondale, AZ 85323-1848 | 2019-01-20 |
| 1073039061 | Alex M Negrusa | Pharmacy | 280 N Avondale Blvd, Avondale, AZ 85323-6902 | 2017-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946562 | Grand Canyon Acquisition Co LLC | Pharmacy | 100 E Camelback Rd Ste 112, Phoenix, AZ 85012-1061 | 2020-09-14 |
| 1316564628 | Costco Wholesale Corporation | Pharmacy | 16385 W Waddell Rd, Surprise, AZ 85388-9623 | 2020-07-02 |
| 1669098257 | Nowrx Inc | Pharmacy | 2452 W Birchwood Ave Ste 106, Mesa, AZ 85202-1067 | 2020-06-19 |
| 1356961726 | Truechoice Pharmacy, LLC | Pharmacy | 2410 Highway 95, Bullhead City, AZ 86442-7305 | 2020-04-25 |
| 1861021495 | Walgreen Co | Pharmacy | 1870 W Rio Salado Pkwy Ste 100rx, Tempe, AZ 85281-2695 | 2020-04-06 |
| 1134757503 | Adhererx Incorporated | Pharmacy | 1343 N Colorado St Ste 109, Gilbert, AZ 85233-1618 | 2020-03-31 |
| 1003458332 | Bee's Marketplace Corporation | Pharmacy | 80 North Central Street Unit 6 #3323, Colorado City, AZ 86021 | 2019-10-08 |
| 1508417189 | Call's Community Pharmacy LLC | Pharmacy | 985 S Main St, Snowflake, AZ 85937-5501 | 2019-09-24 |
| 1609429240 | Medavail Pharmacy Inc. | Pharmacy | 5555 E 5th St # 101, Tucson, AZ 85711-2415 | 2019-07-23 |
| 1417513904 | N & R Bryce Enterprises LLC | Pharmacy | 2841 Highway 260 Suite 2, Overgaard, AZ 85933 | 2019-05-10 |
| Find all providers with the same taxonomy | ||||
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| 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.