Edwin Tan, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

071755 Issued in NY

Practice address

1203 Eastern Ave
Schenectady, NY 12308-3501

Phone

(518) 393-4549

NPI assigned

Aug 21, 2024

Sex

Male

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": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1952134397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 EASTERN AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123083501",
            "telephone_number": "518-393-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 EASTERN AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123083501",
            "telephone_number": "518-393-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "071755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Taylor Taber, MSED
• Sandra Taccad-Reyes, M.D.
• Alexandra Taffany, MD
• Bridget T Talty, CNM
• Zulia Talukder
• Alexandra Tarasova
• Alessandro L Tarquinio, PHARMD
• Peter Tawfik, M.D.
• Andrew Taylor, MD
• Kelleye A Taylor, PT

• Pharmacist in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.