Active NPI
Tangtang Zhao
- Pharmacist
- Chicago, IL
National Provider Identifier
1174137129
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective May 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.301150
- Practice address
- 9148 S Commercial Ave
Chicago, IL 60617-4307 - Phone
- (773) 721-6603
- NPI assigned
- Sep 6, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 051.301150 | IL | Primary |
Addresses
Primary practice location
9148 S Commercial Ave
Chicago, IL 60617-4307
Mailing address
9148 S Commercial Ave
Chicago, IL 60617-4307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051.301150 | Other | IL | IDFPR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | RXM.05192@store.walgreens.com | Direct |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.301150 | IL | MD | Pharmacist |
Interoperability endpoints
- rxm.05192@store.walgreens.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599350400000",
"number": "1174137129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9148 S COMMERCIAL AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606174307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9148 S COMMERCIAL AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606174307",
"telephone_number": "773-721-6603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHAO",
"first_name": "TANGTANG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-06",
"last_updated": "2020-09-06",
"certification_date": "2020-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.301150",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDFPR",
"identifier": "051.301150",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "RXM.05192@store.walgreens.com",
"affiliation": "N",
"endpointDescription": "store email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Walgreens",
"address_1": "9148 S Commercial Ave",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606174307",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.