Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760856652 Individual Practitioner Female Practitioner

Dr. Chiangchanh Phothisane , PharmD

Pharmacist • Montgomery, AL

Professional Overview & Biography Verified Profile Summary

Dr. Chiangchanh Phothisane, PharmD is a registered healthcare professional specializing in Pharmacist in Montgomery, AL. Practice services are available at 1080 EASTERN BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1080 Eastern Blvd

Montgomery, AL 361171919

Telephone 3342775454
Fax 3342776252
Associated Practice Facility / Clinic
🏢 Sams East Inc Facility NPI 1710904024

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Montgomery, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
261 Specialists

Practicing in Montgomery, AL (4686 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License AL 14442

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State License
14442 (AL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1457729030

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 16, 2015

Registered at 1080 EASTERN BLVD, MONTGOMERY, AL 361171919 (Tel: 3342775454)

📍
Updated Business Mailing Address November 16, 2015

Registered at 93 MOUNTAIN TERRACE LN, WETUMPKA, AL 360933920 (Tel: 3345147808)

👤
Provider Name / Credentials Updated November 16, 2015

Recorded as CHIANGCHANH PHOTHISANE, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2015

Pharmacist (License #14442 in AL)

🟢
Initial NPI Registration & Enumeration November 16, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760856652
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2015
Last Update: November 16, 2015
Sole Proprietor: No

Mailing Address

93 Mountain Terrace Ln

Wetumpka, AL 360933920

Phone: 3345147808

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.