Active NPI
Tep M Kang, PHARMD, BCPS
- Nutrition Support Pharmacist
- Garnet Valley, PA
National Provider Identifier
1164620183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Support Pharmacist
- License
- A1-002858
- Practice address
- 20 Clemson Dr
Garnet Valley, PA 19061-1621 - Phone
- (610) 358-2235
- NPI assigned
- Jul 11, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nutrition Support Pharmacist | 1835N1003X | A1-002858 | DE | Primary |
Addresses
Primary practice location
20 Clemson Dr
Garnet Valley, PA 19061-1621
Mailing address
4755 Ogletown-Stanton Road
Newark, DE 19718-0001
Phone (302) 733-6333
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 |
|---|---|---|---|
| A1-002858 | DE | MD | Nutrition Support Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1164620183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4755 OGLETOWN-STANTON ROAD",
"city": "NEWARK",
"state": "DE",
"postal_code": "197180001",
"telephone_number": "302-733-6333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CLEMSON DR",
"city": "GARNET VALLEY",
"state": "PA",
"postal_code": "190611621",
"telephone_number": "610-358-2235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "TEP",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "PHARMD, BCPS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-11",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "1835N1003X",
"taxonomy_group": "",
"desc": "Pharmacist, Nutrition Support",
"state": "DE",
"license": "A1-002858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garnet Valley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.