JENNIFER LYNN TAN (NPI# 1164700753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164700753 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN TAN |
| Credential | PHARM D. |
| Practice Address |
820 S Rand Rd Lake Zurich IL 60047-2465 |
| Practice Telephone | 8474384949 |
| Mailing Telephone | 8474384949 |
| Enumeration Date | 2011-07-30 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051295149 | IL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE OF ILLINOIS LICENSE | 051.295149 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528383650 | Jennifer Tan | Pharmacist | 428 48th St, Brooklyn, NY 11220-1919 | 2010-03-31 |
| 1427253095 | Jennifer Kathleen Tan | Dermatology | 5320 N Tarrant Pkwy Ste 200, Fort Worth, TX 76244-5387 | 2007-06-15 |
| 1407972698 | Jennifer M Tan | Social Worker | 110 Gough St Ste 403a, San Francisco, CA 94102-5971 | 2007-03-21 |
| 1750735833 | Jennifer Tan | Student in an Organized Health Care Education/Training Program | 401 Paradise Rd Ste E, Modesto, CA 95351-3163 | 2016-04-14 |
| 1205219706 | Jennifer Tan | Internal Medicine | 9333 Imperial Hwy, Dept of Internal Medicine, Downey, CA 90242-2812 | 2015-07-01 |
| 1528460359 | Jennifer Tan | Social Worker | 50 Broadway, New York, NY 10004 | 2014-09-24 |
| 1912285172 | Jennifer Tan | Internal Medicine | 888 Swift Blvd, Richland, WA 99352-3514 | 2011-07-21 |
| 1790927887 | Jennifer Lim Tan | Counselor | 928 Broadway, San Diego, CA 92101-5514 | 2009-04-03 |
| 1265692081 | Jennifer S Tan | Dentist | 7339 Cass Ave, Darien, IL 60561-3660 | 2008-06-16 |
| 1689788093 | Jennifer Tan | Dentist | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2006-08-19 |
| Street Address |
820 S RAND RD |
| City | LAKE ZURICH |
| State | IL |
| Zip Code | 60047-2465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396762662 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 820 S Rand Rd, Lake Zurich, IL 60047-2465 | 2006-07-16 |
| 1750981783 | Hetal Patel | Pharmacist | 820 S Rand Rd, Lake Zurich, IL 60047-2465 | 2020-10-28 |
| 1891395992 | Daxa Neel Patel | Pharmacist | 820 S Rand Rd, Lake Zurich, IL 60047-2465 | 2020-10-28 |
| 1356941710 | Brandon M Bott | Specialist/Technologist | 820 S Rand Rd, Lake Zurich, IL 60047-2465 | 2020-10-27 |
| 1376938811 | Kugel PC | Optometrist | 820 S Rand Rd, Walmart Vision, Lake Zurich, IL 60047-2465 | 2015-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871142547 | Terry Solberg | Technician | 25 Robin Crest Rd, Hawthorn Woods, IL 60047 | 2019-09-05 |
| 1073083614 | Cody Colleen Todd | Counselor | 21361 W Brandon Rd, Kildeer, IL 60047 | 2018-11-27 |
| 1861983694 | Ahmad Family Primary Care, S.c. | Family Medicine | 350 Surryse Rd Ste 240, Lake Zurich, IL 60047 | 2018-05-29 |
| 1508371972 | Joy Anne Margolis | Speech-Language Pathologist | 4151 Robert Parker Coffin Rd, Long Grove, IL 60047 | 2017-12-07 |
| 1982118576 | Stephanie Marie Luebbe | Specialist/Technologist | 30 Seneca Ave W, Hawthorn Woods, IL 60047 | 2017-11-19 |
| 1447785498 | Kayla Stavnes | Student in an Organized Health Care Education/Training Program | 23537 N Garden Ln, Lake Zurich, IL 60047 | 2017-04-27 |
| 1104366491 | Lindsay Pearlman & Associates | Psychologist | 4160 Rte 83, Suite 307, Long Grove, IL 60047 | 2017-03-06 |
| 1164969929 | Lauren Christine Hallerud | Counselor | 4180 Il-83, Suite 10, Long Grove, IL 60047 | 2017-01-31 |
| 1790220820 | Long Grove Center for Emotional Health LLC | Counselor | 4180 Rfd, Suite 10, Long Grove, IL 60047 | 2016-12-28 |
| 1063960276 | Mars Healthcare LLC | Clinic/Center | 721 W Highway 22nd, Lake Zurich, IL 60047 | 2016-09-16 |
| Find all providers in zip 60047 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770987208 | Anthony S Bono | Pharmacist | 117 Lucy Ct, Lake Zurich, IL 60047-1347 | 2014-10-13 |
| 1124303300 | Bessy Binkowski | Pharmacist | 680 S. Rand Road, Lake Zurich, IL 60047 | 2011-10-19 |
| 1225324643 | George E Gryfakis | Pharmacist | 1071 Memory Ln, Lake Zurich, IL 60047-2489 | 2011-06-23 |
| 1659582633 | Lawrence Earl Belgrade | Pharmacist | 844 Interlaken Dr, Lake Zurich, IL 60047-1338 | 2007-05-24 |
| 1518081132 | Glen Berman | Pharmacist | 345 S Rand Rd, Lake Zurich, IL 60047-2271 | 2007-03-19 |
| 1750981783 | Hetal Patel | Pharmacist | 820 S Rand Rd, Lake Zurich, IL 60047-2465 | 2020-10-28 |
| 1891395992 | Daxa Neel Patel | Pharmacist | 820 S Rand Rd, Lake Zurich, IL 60047-2465 | 2020-10-28 |
| 1881207637 | Sundip Kaur Singh | Pharmacist | 910 N Rand Rd, Lake Zurich, IL 60047-3201 | 2020-08-30 |
| 1801249016 | Sue Potempa | Pharmacist | 485 Ela Rd, Lake Zurich, IL 60047-2367 | 2016-07-22 |
| 1154778793 | Soo Young Yom | Pharmacist | 485 Ela Rd, Lake Zurich, IL 60047-2367 | 2016-05-24 |
| Find all providers in LAKE ZURICH | ||||
| City | LAKE ZURICH |
| Zip Code | 60047 |
Please comment or provide details below to improve the information on JENNIFER LYNN TAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.