Active NPI
Karol Tan
- Pharmacist
- Kingston, MA
National Provider Identifier
1467058354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH237065
- Practice address
- 189 Summer St
Kingston, MA 02364-1247 - Phone
- (781) 585-6581
- NPI assigned
- Dec 7, 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 | PH237065 | MA | Primary |
Addresses
Primary practice location
189 Summer St
Kingston, MA 02364-1247
Mailing address
282 Fayette St Apt 3
Quincy, MA 02170-1646
Phone (815) 575-5790
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH237065 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1467058354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 FAYETTE ST APT 3",
"city": "QUINCY",
"state": "MA",
"postal_code": "021701646",
"telephone_number": "815-575-5790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 SUMMER ST",
"city": "KINGSTON",
"state": "MA",
"postal_code": "023641247",
"telephone_number": "781-585-6581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "KAROL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-07",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH237065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.