Active NPI
Katie M Wang, PHARMD
- Pharmacist
- New York, NY
National Provider Identifier
1053643510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 052463-1
- Practice address
- 1294 Lexington Ave
New York, NY 10128-1104 - Phone
- (212) 996-3000
- NPI assigned
- Feb 9, 2010
- Last updated
- Feb 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 052463-1 | NY | Primary |
Addresses
Primary practice location
1294 Lexington Ave
New York, NY 10128-1104
Mailing address
3110 23Rd St
Apt 3a
Astoria, NY 11106-4585
Phone (412) 417-2856
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 |
|---|---|---|---|
| 052463-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | 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": "1265673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265673600000",
"number": "1053643510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3110 23RD ST",
"address_2": "APT 3A",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111064585",
"telephone_number": "412-417-2856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1294 LEXINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281104",
"telephone_number": "212-996-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "KATIE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-09",
"last_updated": "2010-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "052463-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.