Brandon Tien DO, PHARMD
Individual provider Active NPI Pharmacist · Streamwood, IL
NPI 1780255877 · NPPES record last updated Jul 19, 2022
Key facts
- NPI
- 1780255877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051.304752 (IL)
- Practice address
- 217 E Irving Park Rd
Streamwood, IL 60107-2948 - Phone
- (630) 837-2020
- NPI assigned
- Jul 8, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.304752 | IL | MD | Pharmacist |
| 049.243335 | IL | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Drug Stores LLC | Past |
Accepting new patients | |
| American Drug Stores LLC | Past |
Accepting new patients | |
| American Drug Stores LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.304752 | IL | Yes |
| Pharmacy Technician | 183700000X | 049.243335 | IL |
Addresses
Primary practice location
217 E Irving Park Rd
Streamwood, IL 60107-2948
Mailing address
872 Middleton LN
Bartlett, IL 60103-1616
Phone (630) 667-5851
Other providers in Streamwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.