Tang Pharmacy IV Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482179 Issued in PA

Legal business name

TANG PHARMACY IV INC

Doing business as

Tang Pharmacy IV

Practice address

900 N Broad St
Philadelphia, PA 19130-1604

Phone

(215) 235-1400

Fax

(215) 235-1445

NPI assigned

Oct 25, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Xuankhoa Nguyen, RPHNPI 1811441744

Title

Pharmacist

Phone

(215) 235-1400

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Tang Pharmacy IV Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Xuankhoa Nguyen, PHARMD

  • Pharmacist
  • Philadelphia, PA
  • NPI 1811441744
  NPD Authorized official

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1790061547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191301604",
            "telephone_number": "215-235-1400",
            "fax_number": "215-235-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191301604",
            "telephone_number": "215-235-1400",
            "fax_number": "215-235-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANG PHARMACY IV INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "XUANKHOA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "215-235-1400",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102652502001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132479",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tang Pharmacy IV",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tang Pharmacy IV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracey Tanenbaum, LMFT
• Tang Pharmacy II Inc
• Tang Pharmacy III Inc
• Tang Pharmacy III Inc
• Tang Pharmacy Inc
• Tang Pharmacy V Inc
• Kim Tang-Lai
• Alan Tien Tang, MD PHD
• Andy Tang, PHARMD
• Angela Lin Tang

• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.