Active NPI
Jiajing Wang
- Pharmacist
- Lake St Louis, MO
National Provider Identifier
1104739341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2026043760
- Practice address
- 100 Medical PLZ
Lake St Louis, MO 63367-1366 - Phone
- (636) 625-5200
- NPI assigned
- Sep 28, 2026
- Last updated
- Sep 28, 2026
- Sex
- Unspecified or another gender identity
- 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 | 2026043760 | MO | Primary |
Addresses
Primary practice location
100 Medical PLZ
Lake St Louis, MO 63367-1366
Mailing address
31202 Pomme de Terre Dr
Lake St Louis, MO 63367-2170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790553600000",
"number": "1104739341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31202 POMME DE TERRE DR",
"city": "LAKE ST LOUIS",
"state": "MO",
"postal_code": "633672170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL PLZ",
"city": "LAKE ST LOUIS",
"state": "MO",
"postal_code": "633671366",
"telephone_number": "636-625-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "JIAJING",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-09-28",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2026043760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake St Louis, MO
- Wal-Mart Stores East LP (Walmart Pharmacy 10-5313)
- Wal-Mart Stores East, LP (Vision Center 30-5313)
- Walgreen Co. (Walgreens #06493)
- Michelle Louise Wallweber, MSN, APRN, FNP-C
- Pamela Lynn Walsh, NP
- Lauretta Pearson Wegman, FNP-C
- Tammy Lynn Wehmeyer, PT
- Emily Welin
- Westplex Homecare Inc. (Visiting Angels Westplex)
- McKensey Marie Whitchurch, COTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.