Active NPI
Candace Tan, PHARM.D.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Honolulu, HI
National Provider Identifier
1194087874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 3094
- Practice address
- 677 Ala Moana Blvd
#1016
Honolulu, HI 96813-5419 - Phone
- (626) 833-2258
- NPI assigned
- Jun 8, 2012
- Sex
- Female
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 3094 | HI | Primary |
Addresses
Primary practice location
677 Ala Moana Blvd
#1016
Honolulu, HI 96813-5419
Mailing address
677 Ala Moana Blvd
#1025
Honolulu, HI 96813-5419
Phone (626) 833-2258
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 |
|---|---|---|---|
| 3094 | HI | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339113600000",
"number": "1194087874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "677 ALA MOANA BLVD",
"address_2": "#1025",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968135419",
"telephone_number": "626-833-2258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "677 ALA MOANA BLVD",
"address_2": "#1016",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968135419",
"telephone_number": "626-833-2258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "CANDACE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-08",
"last_updated": "2012-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "HI",
"license": "3094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.