IndividualActive
Addison Phan, PHARM.D.
NPI 1396111407 · Pharmacist · Gulfport, MS
Addison Phan, PHARM.D. is a Pharmacist provider in Gulfport, MS (NPI 1396111407).
Provider details
- NPI number
- 1396111407
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Female
- Sole proprietor
- No
- License
- E-13961 (MS)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
2433 25th Ave
Gulfport, MS 39501-4525
Phone: (228) 563-6886
Street-level locationGet directions
Mailing address
10122 Fournier Ave
Diberville, MS 39540-5458
Registry dates
- Enumerated
- 2015-08-12
- Last updated
- 2015-08-12
Frequently asked questions
- What is Addison Phan's NPI number?
- Addison Phan's National Provider Identifier (NPI) is 1396111407, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Addison Phan's specialty?
- Addison Phan is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Addison Phan located?
- Addison Phan's practice location on file with NPPES is 2433 25th Ave, Gulfport, MS 39501-4525.
- What is Addison Phan's phone number?
- The practice phone number listed in the NPPES registry for Addison Phan is (228) 563-6886.
- Is Addison Phan's NPI active?
- Yes — Addison Phan's NPI (1396111407) is active in the NPPES registry as of the last update on 2015-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.