Amy Phuongque Tan, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

49594 Issued in CA

Practice address

1890 Ximeno Ave
Long Beach, CA 90815-2849

Phone

(562) 597-6520

Fax

(562) 597-2034

NPI assigned

Nov 18, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1801124573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2832 SAWGRASS DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927061145",
            "telephone_number": "714-568-1196",
            "fax_number": "562-597-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 XIMENO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152849",
            "telephone_number": "562-597-6520",
            "fax_number": "562-597-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "AMY",
        "middle_name": "PHUONGQUE",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "49594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Tamayo
• Amanda Jennifer Tamburri
• Ai Tamiya
• Tammy N. Tran, D.D.S., Inc.
• Agnes Tan, NP
• Bunthay Chorn Tan, O.D.
• Christopher Adi Tan, MD
• Jesse William Tan, MD
• Jesus King Tan, MD
• Joanna Ai Wan Tan, M.D.

• Pharmacist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.