KRISTIAN BENJAMIN TAN
NPI 1952011421
Pharmacist in Wilmington, CA

Active since November 25, 2022
1203 N AVALON BLVD STE A, WILMINGTON, CA 90744(310) 549-1000(310) 549-7000 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 16, 2023, Jan 2, 2023, Nov 25, 2022 (3 updates tracked since 2022).

About Kristian Benjamin Tan NPPES

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

KRISTIAN BENJAMIN TAN (NPI 1952011421) is an individual pharmacist in Wilmington, California, licensed in California (86476) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1952011421
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameKRISTIAN BENJAMIN TAN
Location Address1203 N AVALON BLVD STE AWilmington, CA 90744-2646
Mailing Address1203 N Avalon Blvd Ste AWilmington, CA 90744-2646 · (310) 549-1000
Fax(310) 549-7000
Sole ProprietorYes
Enumeration DateNovember 25, 2022
Last NPPES UpdateMarch 16, 20233 updates tracked since enumeration
NPPES CertifiedMarch 16, 2023
NPI 1952011421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 86476
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.
1203 N AVALON BLVD STE A, Wilmington, CA 90744

Other Providers at the Same Location NPPES 4

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

Pharmacy (Community/Retail Pharmacy)
1203 N AVALON BLVD STE A
WILMINGTON, CA 90744
Pharmacist
1203 N AVALON BLVD STE A
WILMINGTON, CA 90744
Pharmacist
1203 N AVALON BLVD STE A
WILMINGTON, CA 90744
Pharmacist
1203 N AVALON BLVD STE A
WILMINGTON, CA 90744

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 Kristian Tan's NPI number?

The NPI number for Kristian Tan is 1952011421. It was assigned to this individual provider in the NPPES registry on November 25, 2022.

Where is Kristian Tan located?

Kristian Tan practices at 1203 N Avalon Blvd Ste A, Wilmington, CA 90744. The listed phone number is (310) 549-1000.

What is Kristian 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 Kristian Tan was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.