Active NPI
Tom Yen-PO Wang, PHARM.D.
- Pharmacist
- Irvine, CA
National Provider Identifier
1194073577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 60159
- Practice address
- 6865 Alton Pkwy
Suite 120
Irvine, CA 92618-3739 - Phone
- (949) 612-6088
- Fax
- (949) 612-6082
- NPI assigned
- Aug 16, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | RPH 60159 | CA | Primary |
Addresses
Primary practice location
6865 Alton Pkwy
Suite 120
Irvine, CA 92618-3739
Mailing address
5505 Via Marisol
Los Angeles, CA 90042-4801
Phone (626) 675-7778
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 |
|---|---|---|---|
| RPH 60159 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergi Pharmaceutical Solutions Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Compounding Pharmacy
- Irvine, CA
- NPI 1629325238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345075200000",
"number": "1194073577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5505 VIA MARISOL",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900424801",
"telephone_number": "626-675-7778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6865 ALTON PKWY",
"address_2": "SUITE 120",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183739",
"telephone_number": "949-612-6088",
"fax_number": "949-612-6082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "TOM",
"middle_name": "YEN-PO",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-16",
"last_updated": "2012-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 60159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.