Active NPI
Wendy Tan, PHARMD
- Pharmacist
- Reno, NV
National Provider Identifier
1083219307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19720
- Practice address
- 2425 E 2ND St
Reno, NV 89502-1218 - Phone
- (775) 359-8777
- NPI assigned
- Dec 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19720 | NV | Primary |
Addresses
Primary practice location
2425 E 2ND St
Reno, NV 89502-1218
Mailing address
974 Railborne Dr
Sparks, NV 89434-8892
Phone (775) 997-4932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19720 | NV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1083219307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "974 RAILBORNE DR",
"city": "SPARKS",
"state": "NV",
"postal_code": "894348892",
"telephone_number": "775-997-4932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 E 2ND ST",
"city": "RENO",
"state": "NV",
"postal_code": "895021218",
"telephone_number": "775-359-8777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "WENDY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-03",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "19720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.