Active NPI
Kok Hong Tan, R.PH.
- Pharmacist
- Plano, TX
National Provider Identifier
1902146814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42298
- Practice address
- 4616 Pine Brook Dr
Plano, TX 75024-3960 - Phone
- (214) 298-5928
- NPI assigned
- Mar 1, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 42298 | TX | Primary |
| Pharmacist | 183500000X | S012043 | AZ | |
| Pharmacist | 183500000X | 15286 | CO |
Addresses
Primary practice location
4616 Pine Brook Dr
Plano, TX 75024-3960
Mailing address
4616 Pine Brook Dr
Plano, TX 75024-3960
Phone (214) 298-5928
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15286 | Other | CO | STATE BOARD OF PHARMACY |
| 42298 | Other | TX | STATE BOARD OF PHARMACY |
| S012043 | Other | AZ | STATE BOARD OF PHARMACY |
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S012043 | AZ | MD | Pharmacist |
| 15286 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362096000000",
"number": "1902146814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4616 PINE BROOK DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750243960",
"telephone_number": "214-298-5928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4616 PINE BROOK DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750243960",
"telephone_number": "214-298-5928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "KOK HONG",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-01",
"last_updated": "2013-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "42298",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S012043",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "15286",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF PHARMACY",
"identifier": "15286",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF PHARMACY",
"identifier": "42298",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF PHARMACY",
"identifier": "S012043",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.