JACKIE TAN PHARMD
NPI 1790455038
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Chandler, AZ

Active since September 17, 2021
1950 W RAY RD, CHANDLER, AZ 85224(480) 814-0178(480) 855-1602 Get Directions Write a Review

NPPES record last updated: June 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2024, Sep 20, 2021, Sep 17, 2021 (3 updates tracked since 2021).

About Jackie Tan Pharmd NPPES

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

JACKIE TAN PHARMD (NPI 1790455038) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Chandler, Arizona, licensed in Arizona (S027250) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1790455038
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameJACKIE TANCredential: PHARMD
Location Address1950 W RAY RDChandler, AZ 85224-9008
Mailing Address1950 W Ray RdChandler, AZ 85224-9008 · (480) 814-0178 · Fax (480) 855-1602
Fax(480) 855-1602
Sole ProprietorNo
Enumeration DateSeptember 17, 2021
Last NPPES UpdateJune 20, 20263 updates tracked since enumeration
NPPES CertifiedJune 20, 2026
NPI 1790455038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License Licensed in AZ · S027250
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
1950 W RAY RD, Chandler, AZ 85224

Other Providers at the Same Location NPPES 8

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

Pharmacist
1950 W RAY RD
CHANDLER, AZ 85224
Pharmacist
1950 W RAY RD
CHANDLER, AZ 85224
Pharmacist
1950 W RAY RD
CHANDLER, AZ 85224
Pharmacist
1950 W RAY RD
CHANDLER, AZ 85224
Pharmacist
1950 W RAY RD
CHANDLER, AZ 85224
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1950 W RAY RD
CHANDLER, AZ 85224
Pharmacist
1950 W RAY RD
CHANDLER, AZ 85224
Pharmacy (Community/Retail Pharmacy)
1950 W RAY RD
CHANDLER, AZ 85224

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 Jackie Tan's NPI number?

The NPI number for Jackie Tan is 1790455038. It was assigned to this individual provider in the NPPES registry on September 17, 2021.

Where is Jackie Tan located?

Jackie Tan practices at 1950 W Ray Rd, Chandler, AZ 85224. The listed phone number is (480) 814-0178.

What is Jackie Tan's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Jackie Tan was last updated on June 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.