Tam Thanh Han, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS50005 Issued in FL

Practice address

1217 W Jefferson St
Quincy, FL 32351-2125

Phone

(850) 627-7663

Fax

(850) 627-7673

NPI assigned

Mar 23, 2014

Last updated

Dec 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  dba Walgreens #10147

  • Pharmacy
  • Quincy, FL
  • NPI 1134138282
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1395532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1629495197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 W JEFFERSON ST",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323512125",
            "telephone_number": "850-627-7663",
            "fax_number": "850-627-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 W JEFFERSON ST",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323512125",
            "telephone_number": "850-627-7663",
            "fax_number": "850-627-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "TAM",
        "middle_name": "THANH",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-23",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH027094",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS50005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khalil Chason Gunn
• Marcus Marion Gurley Jr., PHARMD
• Gwenandrews Home of Success Agency, Inc.
• Shaquana Renee Hall
• Susan L Hall, R.N.
• Tyara Handford, R.N.
• Danyell Harley
• David Harris
• Toni Ann Harris
• Roiquista Ewana Harrison-Albritton, L.P.N.

• Pharmacist in Quincy, FL
• Providers in Quincy, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.