Active NPI
Dave Tan
- Pharmacist
- Jersey City, NJ
National Provider Identifier
1780099036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02997900
- Practice address
- 286 Central Ave
Jersey City, NJ 07307-3013 - Phone
- (201) 656-4392
- NPI assigned
- Jun 25, 2014
- Sex
- Male
- 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 | 28RI02997900 | NJ | Primary |
Addresses
Primary practice location
286 Central Ave
Jersey City, NJ 07307-3013
Mailing address
286 Central Ave
Jersey City, NJ 07307-3013
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 |
|---|---|---|---|
| 28RI02997900 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jersey Apothecary Inc | Current | Accepting new patients | |
| Jersey Apothecary Inc | Current | Accepting new patients |
Locations
286 Central Ave
Jersey City, NJ 07307
Phone (201) 656-4392
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403654400000",
"number": "1780099036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "286 CENTRAL AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073073013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "286 CENTRAL AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073073013",
"telephone_number": "201-656-4392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "DAVE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-25",
"last_updated": "2014-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02997900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.