Brandon Tien DO, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.304752 Issued in IL

Practice address

217 E Irving Park Rd
Streamwood, IL 60107-2948

Phone

(630) 837-2020

NPI assigned

Jul 8, 2021

Last updated

Jul 19, 2022By the provider in NPPES

Sex

Male

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

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.

• American Drug Stores LLC

  • Community/Retail Pharmacy
  • Diamond, IL
  • NPI 1013786706
  NPD (past)
• American Drug Stores LLC

  dba Osco Drug #4308

  • Community/Retail Pharmacy
  • Schaumburg, IL
  • NPI 1104872753
  NPD (past)
• American Drug Stores LLC

  dba Osco Drug #4268

  • Community/Retail Pharmacy
  • Streamwood, IL
  • NPI 1922054691
  NPD (past)

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1780255877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 MIDDLETON LN",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601031616",
            "telephone_number": "630-667-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E IRVING PARK RD",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601072948",
            "telephone_number": "630-837-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "BRANDON",
        "middle_name": "TIEN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-08",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.304752",
            "primary": true
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "IL",
            "license": "049.243335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Craig Demke, M.D.
• Krupa Desai, LCPC
• Prutha Desai
• Keval Suresh Dholakia, PA-C
• Carol Lynn Didominicis, LCSW
• Doan Counseling LLC
• Nicole Doan
• Nina Ivanova Dobreva, D.D.S.
• Emilia Ann Durkin, OTR/L
• Betsy Malicakal Eapen, D.O.

• Pharmacist in Streamwood, IL
• Providers in Streamwood, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.