Active NPI
Tiffany Thuan Dang
- Pharmacist
- Pearland, TX
National Provider Identifier
1629677083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 40843
- Practice address
- 3245 Broadway St
Pearland, TX 77581 - Phone
- (281) 485-1323
- NPI assigned
- Oct 18, 2020
- Last updated
- Oct 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 40843 | TX | Primary |
Addresses
Primary practice location
3245 Broadway St
Pearland, TX 77581
Mailing address
3245 Broadway St
Pearland, TX 77581
Phone (281) 485-1323
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 |
|---|---|---|---|
| 40843 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Texas LP | Past | Accepting new patients | |
| Kroger Texas L P | Past | Accepting new patients |
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": "1602979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602979200000",
"number": "1629677083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 BROADWAY ST",
"city": "PEARLAND",
"state": "TX",
"postal_code": "77581",
"telephone_number": "281-485-1323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3245 BROADWAY ST",
"city": "PEARLAND",
"state": "TX",
"postal_code": "77581",
"telephone_number": "281-485-1323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANG",
"first_name": "TIFFANY",
"middle_name": "THUAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-18",
"last_updated": "2020-10-18",
"certification_date": "2020-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "40843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.