OrganizationActive
Phat Dai Tai LLC
NPI 1053616581 · Community/Retail Pharmacy · Phoenix, AZ
Phat Dai Tai LLC is a Community/Retail Pharmacy organization in Phoenix, AZ (NPI 1053616581).
Provider details
- NPI number
- 1053616581
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jackie Phan, Owner(623) 826-7748
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES 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
2222 E Highland Ave Ste 102
Phoenix, AZ 85016-4874
Phone: (623) 535-5822
Fax: (623) 535-9711
Street-level locationGet directions
Mailing address
13203 W Palo Verde Dr
Litchfield Park, AZ 85340-8356
Other names (DBA / former)
- Doing business as
- Xpress Care Pharmacy
Registry dates
- Enumerated
- 2011-01-13
- Last updated
- 2011-01-13
Frequently asked questions
- What is Phat Dai Tai LLC's NPI number?
- Phat Dai Tai LLC's National Provider Identifier (NPI) is 1053616581, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phat Dai Tai LLC?
- Phat Dai Tai LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Phat Dai Tai LLC located?
- Phat Dai Tai LLC's practice location on file with NPPES is 2222 E Highland Ave Ste 102, Phoenix, AZ 85016-4874.
- What is Phat Dai Tai LLC's phone number?
- The practice phone number listed in the NPPES registry for Phat Dai Tai LLC is (623) 535-5822.
- Who is the authorized official for Phat Dai Tai LLC?
- The authorized official listed on Phat Dai Tai LLC's NPPES record is Jackie Phan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phat Dai Tai LLC's NPI active?
- Yes — Phat Dai Tai LLC's NPI (1053616581) is active in the NPPES registry as of the last update on 2011-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.