IndividualActive
Mary Phan
NPI 1205618543 · Pharmacist · Kearny, NJ
Mary Phan is a Pharmacist provider in Kearny, NJ (NPI 1205618543).
Provider details
- NPI number
- 1205618543
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 28RI04339000 (NJ)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
465 Kearny Ave
Kearny, NJ 07032-2702
Phone: (201) 428-2376
Street-level locationGet directions
Mailing address
129 Smallwood Ave
Belleville, NJ 07109-1330
Registry dates
- Enumerated
- 2023-10-20
- Last updated
- 2023-10-20
- Certified
- 2023-10-20
Frequently asked questions
- What is Mary Phan's NPI number?
- Mary Phan's National Provider Identifier (NPI) is 1205618543, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Phan's specialty?
- Mary Phan is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Mary Phan located?
- Mary Phan's practice location on file with NPPES is 465 Kearny Ave, Kearny, NJ 07032-2702.
- What is Mary Phan's phone number?
- The practice phone number listed in the NPPES registry for Mary Phan is (201) 428-2376.
- Is Mary Phan's NPI active?
- Yes — Mary Phan's NPI (1205618543) is active in the NPPES registry as of the last update on 2023-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.