TERESA TAN (NPI# 1255979027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255979027 |
| Entity Type | Individual |
| Full Name | TERESA TAN |
| Practice Address |
130 N Grand Ave Glendora CA 91741-2434 |
| Mailing Address |
19505 Quicksilver Ln Rowland Heights CA 91748-3260 |
| Practice Telephone | 6269630385 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 66334 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992134944 | Teresa Tan | Registered Nurse | 1809 Nostrand Ave, 2nd Floor Suite 1, Brooklyn, NY 11226-7181 | 2013-11-09 |
| 1386910636 | Teresa P Tan | Obstetrics & Gynecology | 2485 Hospital Dr, Ste 330, Mountain View, CA 94040-4101 | 2012-03-30 |
| 1316149214 | Teresa X Tan | Obstetrics & Gynecology | 860 Omni Blvd, Suite 101, Newport News, VA 23606 | 2007-06-03 |
| 1881753077 | Teresa Tan | Occupational Therapist | 438 W Las Tunas Dr, San Gabriel, CA 91776 | 2006-12-06 |
| Street Address |
130 N GRAND AVE |
| City | GLENDORA |
| State | CA |
| Zip Code | 91741-2434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861435034 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 130 N Grand Ave, Glendora, CA 91741-2434 | 2006-06-14 |
| 1346888070 | Aya Zeyad Alwahib | Pharmacist | 130 N Grand Ave, Glendora, CA 91741-2434 | 2019-12-12 |
| 1407494230 | Kaye Pantayatiwong | Pharmacist | 130 N Grand Ave, Glendora, CA 91741-2434 | 2019-12-11 |
| 1659816502 | David Nhan | Pharmacist | 130 N Grand Ave, Glendora, CA 91741-2434 | 2017-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083244016 | Monica Keo | Psychiatry & Neurology | 501 South Grand Avenue, #200, Glendora, CA 91741 | 2020-01-17 |
| 1871144816 | Djpnicolas, LLC | Clinic/Center | 144 N. Grand Avenue, Glendora, CA 91741 | 2019-09-20 |
| 1518517192 | Ashlyn Kate Cherry | Social Worker | 916 W. Danton Drive, Glendora, CA 91741 | 2019-09-16 |
| 1497284889 | Maged Guirguis | Private Vehicle | 1262 E Ada Ave, Glendora, CA 91741 | 2017-06-08 |
| 1952793200 | Dignity Transportation Service Inc | Private Vehicle | 255 S Glendora Ave #1613, Glendora, CA 91741 | 2015-02-24 |
| 1437568029 | Arakelyan Aznavour Dental Corporation | Dentist | 175 N Pennsylvania Ave #3, Glendora, CA 91741 | 2014-08-07 |
| 1528481223 | Lucinda Lorraine Schoenick | Nurse Practitioner | 250 S. Grand Ave, Glendora, CA 91741 | 2014-01-31 |
| 1073837548 | Advanced Dental Smiles | Dentist | 455 W. Foothill Blvd, Glendora, CA 91741 | 2010-03-26 |
| 1346404621 | Amee Brown | Occupational Therapist | 401 W. Ada Ave., Glendora, CA 91741 | 2008-07-15 |
| 1356539183 | Orthopaedic Medical Group | Specialist | 412 W Carroll St, Ste 107, Glendora, CA 91741 | 2007-10-05 |
| Find all providers in zip 91741 | ||||
| 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 |
|---|---|---|---|---|
| 1457869588 | Caroline Riad Antoun Riad | Pharmacist | 1473 Lawford St, Glendora, CA 91741-3757 | 2018-01-10 |
| 1871005363 | Kwame Fosu Awuah | Pharmacist | 1950w Auto Centre Dr, Glendora, CA 91740-6700 | 2017-10-25 |
| 1740730175 | Divya Chowdary | Pharmacist | 1216 E Northridge Ave, Glendora, CA 91741-2969 | 2016-10-10 |
| 1710342928 | Devangi Desai | Pharmacist | 704 Rainbow Dr, Glendora, CA 91741-2062 | 2015-12-15 |
| 1144653148 | Mai Phuong Thai | Pharmacist | 1844 E Route 66, Glendora, CA 91740-3868 | 2013-08-13 |
| 1720385578 | Gloria Goh | Pharmacist | 435 Foothill Blvd, Glendora, CA 91740 | 2011-02-14 |
| 1578160156 | John A Kolta | Pharmacist | 1335 S Grand Ave, Glendora, CA 91740-5046 | 2020-10-06 |
| 1114530433 | Quanhao Fu | Pharmacist | 1301 Black Horse Pike, Glendora, NJ 08029-1307 | 2020-08-26 |
| 1346888070 | Aya Zeyad Alwahib | Pharmacist | 130 N Grand Ave, Glendora, CA 91741-2434 | 2019-12-12 |
| 1407494230 | Kaye Pantayatiwong | Pharmacist | 130 N Grand Ave, Glendora, CA 91741-2434 | 2019-12-11 |
| Find all providers in GLENDORA | ||||
Please comment or provide details below to improve the information on TERESA 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.