IndividualActive
Jackie Tan
NPI 1790455038 · Pharmacist · Tolleson, AZ
Jackie Tan is a Pharmacist provider in Tolleson, AZ (NPI 1790455038).
Provider details
- NPI number
- 1790455038
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- S027250 (AZ)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
500 S 99th Ave
Tolleson, AZ 85353-9700
Phone: (623) 907-4933
Street-level locationGet directions
Mailing address
500 S 99th Ave
Tolleson, AZ 85353-9700
Additional practice locations (2)
- 4724 N 20th StPhoenix, AZ 85016-4788Phone: (602) 263-0771
- 4707 E Shea BlvdPhoenix, AZ 85028-4215Phone: (480) 367-3973Fax: (480) 367-3967
Registry dates
- Enumerated
- 2021-09-17
- Last updated
- 2024-09-17
- Certified
- 2024-09-17
Frequently asked questions
- What is Jackie Tan's NPI number?
- Jackie Tan's National Provider Identifier (NPI) is 1790455038, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackie Tan's specialty?
- Jackie Tan is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Jackie Tan located?
- Jackie Tan's practice location on file with NPPES is 500 S 99th Ave, Tolleson, AZ 85353-9700.
- What is Jackie Tan's phone number?
- The practice phone number listed in the NPPES registry for Jackie Tan is (623) 907-4933.
- Is Jackie Tan's NPI active?
- Yes — Jackie Tan's NPI (1790455038) is active in the NPPES registry as of the last update on 2024-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.