KIMBERLY TAN
NPI 1164823837
Pharmacist in Peoria, IL

Active since September 11, 2014
4814 N SHERIDAN RD, PEORIA, IL 61614(309) 688-6752 Get Directions Write a Review

NPPES record last updated: September 11, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Tan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY TAN (NPI 1164823837) is an individual pharmacist in Peoria, Illinois, licensed in Illinois (051.297722) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1164823837
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKIMBERLY TAN
Location Address4814 N SHERIDAN RDPeoria, IL 61614-5928
Mailing Address2312 W Kenfield CtPeoria, IL 61615-6406
Sole ProprietorNo
Enumeration DateSeptember 11, 2014
NPI 1164823837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IL · 051.297722
Definition
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.
4814 N SHERIDAN RD, Peoria, IL 61614

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy
4814 N SHERIDAN RD
PEORIA, IL 61614
Pharmacist
4814 N SHERIDAN RD
PEORIA, IL 61614
Pharmacist
4814 N SHERIDAN RD
PEORIA, IL 61614
Pharmacist
4814 N SHERIDAN RD
PEORIA, IL 61614
Clinical Medical Laboratory
4814 N SHERIDAN RD
PEORIA, IL 61614
Pharmacist
4814 N SHERIDAN RD
PEORIA, IL 61614

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Tan's NPI number?

The NPI number for Kimberly Tan is 1164823837. It was assigned to this individual provider in the NPPES registry on September 11, 2014.

Where is Kimberly Tan located?

Kimberly Tan practices at 4814 N Sheridan Rd, Peoria, IL 61614. The listed phone number is (309) 688-6752.

What is Kimberly Tan's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kimberly Tan was last updated on September 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.