Active NPI
Charles Wang, PHARMD
- Pharmacist
- Savannah, GA
National Provider Identifier
1033542147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH.14325 PH
- Practice address
- 11509 Abercorn St
Savannah, GA 31419-1901 - Phone
- (912) 927-6119
- NPI assigned
- Aug 12, 2013
- Last updated
- Aug 18, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH027380 | GA | |
| Pharmacist | 183500000X | PH.14325 PH | SC | Primary |
Addresses
Primary practice location
11509 Abercorn St
Savannah, GA 31419-1901
Mailing address
4535 Fairway View CT
Duluth, GA 30096-6092
Phone (770) 313-3322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH027380 | GA | MD | Pharmacist |
| PH.14325 PH | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376784000000",
"number": "1033542147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4535 FAIRWAY VIEW CT",
"city": "DULUTH",
"state": "GA",
"postal_code": "300966092",
"telephone_number": "770-313-3322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11509 ABERCORN ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314191901",
"telephone_number": "912-927-6119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-12",
"last_updated": "2013-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH027380",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "PH.14325 PH",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.