Individual provider Active NPI

Shun-Yan Tse, PHARMD

  • Pharmacist
  • Powder Springs, GA
National Provider Identifier
1184145070
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH33610 Issued in GA
Practice address
1070 Richard D Sailors Pkwy
Powder Springs, GA 30127-5221
Phone
(770) 222-2897
Fax
(770) 222-7137
NPI assigned
Jun 29, 2017
Last updated
Dec 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16319 OK
Pharmacist 183500000X RPH33610 GA Primary

Addresses

Primary practice location

1070 Richard D Sailors Pkwy
Powder Springs, GA 30127-5221

Mailing address

1070 Richard D Sailors Pkwy
Powder Springs, GA 30127-5221
Phone (770) 222-2897

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

LicenseStateTypeSpecialty
RPH33610GAMDPharmacist
16319OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Oct 6, 2024 Accepting new patients
Walgreen Co PastSince Dec 28, 2022 Accepting new patients

Locations

1070 Richard D Sailors Pkwy
Powder Springs, GA 30127
Phone (770) 222-2897

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1184145070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 RICHARD D SAILORS PKWY",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301275221",
            "telephone_number": "770-222-2897",
            "fax_number": "770-222-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 RICHARD D SAILORS PKWY",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301275221",
            "telephone_number": "770-222-2897",
            "fax_number": "770-222-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSE",
        "first_name": "SHUN-YAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "16319",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH33610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powder Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.