Active NPI
Kenny Tang
- Pharmacist
- Santa Clara, CA
National Provider Identifier
1841956737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 87028
- Practice address
- 2700 Homestead Rd
Santa Clara, CA 95051-5353 - Phone
- (408) 247-8700
- NPI assigned
- Nov 15, 2021
- Reactivated
- Sep 25, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 70664 | TX | |
| Pharmacist | 183500000X | 87028 | CA | Primary |
Addresses
Primary practice location
2700 Homestead Rd
Santa Clara, CA 95051-5353
Mailing address
2409 University Ave
Austin, TX 78712-1112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87028 | Other | CA | PHARM TECH LICENSE PHARMACIST |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | other | Direct |
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 |
|---|---|---|---|
| 70664 | TX | MD | Professional Counselor |
| 87028 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1841956737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2409 UNIVERSITY AVE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787121112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 HOMESTEAD RD",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950515353",
"telephone_number": "408-247-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANG",
"first_name": "KENNY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-15",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"deactivation_date": "2023-02-25",
"reactivation_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "70664",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "87028",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARM TECH LICENSE PHARMACIST",
"identifier": "87028",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "other",
"affiliation": "N",
"endpointDescription": "other",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "other",
"address_1": "2409 University Ave",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "787121112",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.