IndividualActive
Jackie Phan, PHARMACIST
NPI 1043193394 · Pharmacist · Peoria, AZ
Jackie Phan, PHARMACIST is a Pharmacist provider in Peoria, AZ (NPI 1043193394).
Provider details
- NPI number
- 1043193394
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMACIST
- Sex
- Female
- Sole proprietor
- Yes
- License
- S010547 (AZ)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6750 W Thunderbird Rd
Peoria, AZ 85381-5026
Phone: (623) 209-0870
Street-level locationGet directions
Mailing address
19801 N 59th Ave Unit 10127
Glendale, AZ 85318-5007
Registry dates
- Enumerated
- 2025-07-25
- Last updated
- 2025-07-25
- Certified
- 2025-07-25
Frequently asked questions
- What is Jackie Phan's NPI number?
- Jackie Phan's National Provider Identifier (NPI) is 1043193394, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackie Phan's specialty?
- Jackie Phan is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Jackie Phan located?
- Jackie Phan's practice location on file with NPPES is 6750 W Thunderbird Rd, Peoria, AZ 85381-5026.
- What is Jackie Phan's phone number?
- The practice phone number listed in the NPPES registry for Jackie Phan is (623) 209-0870.
- Is Jackie Phan's NPI active?
- Yes — Jackie Phan's NPI (1043193394) is active in the NPPES registry as of the last update on 2025-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.