Tony Tan, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

69355 Issued in CA

Practice address

26059 Mission Blvd
Hayward, CA 94544

Phone

(510) 886-2207

Fax

(510) 886-2427

NPI assigned

Feb 6, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

Practice roles

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

• Garfield Beach CVS LLC

  • Pharmacy
  • Hayward, CA
  • NPI 1124425293
  NPD (past)
• Garfield Beach CVS, L.L.C.

  • Pharmacy
  • Jurupa Valley, CA
  • NPI 1780573113
  NPD (past)

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1215328646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 LEAFTREE CIR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951313055",
            "telephone_number": "408-439-5796",
            "fax_number": "510-886-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26059 MISSION BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "94544",
            "telephone_number": "510-886-2207",
            "fax_number": "510-886-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "TONY",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "69355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Yamsuan Tamayo
• Benita B Tan, MD
• Coreen Suzanne Calara Tan, PHARMD
• Linda Maw Tan, BCBA
• Neelee Tan, L.AC
• Sara Tanco
• Kristian Tandoc
• Jessica Tang, R.D.
• Kenneth Tang
• Ling Tang

• Pharmacist in Hayward, CA
• Providers in Hayward, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.