Active NPI
Henry Tang, R.PH., AE-C
- Pharmacist
- Milwaukie, OR
National Provider Identifier
1710972500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8514
- Practice address
- 4560 SE International Way Ste 101
Milwaukie, OR 97222-4628 - Phone
- (971) 206-5100
- Fax
- (503) 652-0383
- NPI assigned
- Sep 17, 2005
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8514 | OR | Primary |
| Pharmacist | 183500000X | 17707 | MA | |
| Pharmacist | 183500000X | 60028510 | WA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 8514 | OR |
Addresses
Primary practice location
4560 SE International Way Ste 101
Milwaukie, OR 97222-4628
Mailing address
4560 SE International Way Ste 101
Milwaukie, OR 97222-4628
Phone (971) 206-5100
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17707 | MA | MD | Pharmacist |
| 60028510 | WA | MD | Pharmacist |
| 8514 | OR | 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": "1126915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457827200000",
"number": "1710972500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4560 SE INTERNATIONAL WAY STE 101",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972224628",
"telephone_number": "971-206-5100",
"fax_number": "503-652-0383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4560 SE INTERNATIONAL WAY STE 101",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972224628",
"telephone_number": "971-206-5100",
"fax_number": "503-652-0383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANG",
"first_name": "HENRY",
"name_prefix": "Mr.",
"credential": "R.PH., AE-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-17",
"last_updated": "2016-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "8514",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "17707",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "60028510",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "8514",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.