Active NPI
Norman Tang
- Pharmacist
- Ferndale, WA
National Provider Identifier
1942592696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00049969
- Practice address
- 2057 Alder Street
Ferndale, WA 98248 - Phone
- (360) 325-4310
- Fax
- (360) 325-4320
- NPI assigned
- May 12, 2011
- Last updated
- Nov 12, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00049969 | WA | Primary |
Addresses
Primary practice location
2057 Alder Street
Ferndale, WA 98248
Mailing address
PO Box 622
Ferndale, WA 98248-0622
Phone (360) 325-4310
Other practice location 1
208 E Main St
Everson, WA 98247-9126
Phone (360) 933-3481
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 |
|---|---|---|---|
| PH00049969 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nooksack Valley Drug Store LLC | Current | Accepting new patients | |
| Ferndale Pharmacy LLC | Current | Accepting new patients | |
| Nooksack Valley Drug Store LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Valley Drug
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Everson, WA
- NPI 1184764458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1942592696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 622",
"city": "FERNDALE",
"state": "WA",
"postal_code": "982480622",
"telephone_number": "360-325-4310",
"fax_number": "360-325-4320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2057 ALDER STREET",
"city": "FERNDALE",
"state": "WA",
"postal_code": "98248",
"telephone_number": "360-325-4310",
"fax_number": "360-325-4320"
}
],
"practiceLocations": [
{
"address_1": "208 E Main St",
"address_purpose": "LOCATION",
"city": "Everson",
"state": "WA",
"postal_code": "982479126",
"country_code": "US",
"telephone_number": "360-933-3481",
"fax_number": "360-966-3083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TANG",
"first_name": "NORMAN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-12",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00049969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ferndale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.