Stephanie Dang, RPH
Individual provider Active NPI Pharmacist · Fresno, TX
NPI 1053649111 · NPPES record last updated Dec 1, 2009
Key facts
- NPI
- 1053649111
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 43105 (TX)
- Practice address
- 12225 Highway 6
Fresno, TX 77545-8805 - Phone
- (281) 431-4248
- Fax
- (281) 431-4056
- NPI assigned
- Dec 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43105 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 43105 | TX | Yes |
Addresses
Primary practice location
12225 Highway 6
Fresno, TX 77545-8805
Mailing address
12225 Highway 6
Fresno, TX 77545-8805
Phone (281) 431-4248
Other providers in Fresno, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.