Mia Phan
Mia Phan is a Pharmacist provider (Pharmacist) practicing in Stone Mountain, GA, registered in the NPPES registry with NPI 1609489558 since 2020.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1609489558 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mia Phan |
| Sex | Female |
| Practice address | 5320 MEMORIAL DR, Stone Mountain, GA, 30083 |
| Phone | 4045087166 |
| Enumeration date | 2020-08-28 |
| Last updated in NPPES | 2020-08-28 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 183500000X | Pharmacist | Primary | RPH030294 | GA |
Copy-ready billing details
Provider: Mia Phan NPI: 1609489558 Taxonomy: 183500000X (Pharmacist) Address: 5320 MEMORIAL DR, Stone Mountain, GA, 30083
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1023023223 | Walgreen Co | Organization | Pharmacy | Stone Mountain, GA |
| 1891863254 | Rediclinic LLC | Organization | Clinic/Center | Stone Mountain, GA |
| 1003974510 | Wendy Schaal | Individual | Nurse Practitioner | Stone Mountain, GA |
| 1487833216 | Jo Anne Woodall | Individual | Family Nurse Practitioner | Stone Mountain, GA |
| 1952580417 | Florence Uzuegbunam | Individual | Family Nurse Practitioner | Stone Mountain, GA |
| 1740563170 | Nneka Izundu | Individual | Pharmacist | Stone Mountain, GA |
| 1609146117 | Nancy Glover | Individual | Pharmacist | Stone Mountain, GA |
Verify this record
Cross-check NPI 1609489558 against the authoritative CMS record: view Mia Phan on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Mia Phan?
Where does Mia Phan practice?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-28.