Active NPI
Shan Wang
- Pharmacist
- Elmhurst, NY
National Provider Identifier
1194907220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 048389
- Practice address
- 8808 55TH Ave
Elmhurst, NY 11373-4437 - Phone
- (718) 803-3005
- Fax
- (718) 803-3346
- NPI assigned
- Nov 30, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 048389 | NY | Primary |
Addresses
Primary practice location
8808 55TH Ave
Elmhurst, NY 11373-4437
Mailing address
8808 55TH Ave
Elmhurst, NY 11373-4437
Phone (718) 803-3005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 048389 | Other | NY | BOARD OF PHARMACY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048389 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpha Touch Pharmacy ,Inc | Current | Accepting new patients | |
| Alpha Tough Pharmacy Inc. | Current | Accepting new patients | |
| Home Product East ,Inc | Current | Accepting new patients |
Locations
8808 55th Ave
Elmhurst, NY 11373
Phone (718) 803-3005
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- Elmhurst, NY
- NPI 1780604215
-
- Community/Retail Pharmacy
- Pembroke Pines, FL
- NPI 1699974162
-
- Long Term Care Pharmacy
- Pembroke Pines, FL
- NPI 1730703653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196380800000",
"number": "1194907220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8808 55TH AVE",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734437",
"telephone_number": "718-803-3005",
"fax_number": "718-803-3346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8808 55TH AVE",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734437",
"telephone_number": "718-803-3005",
"fax_number": "718-803-3346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "SHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-30",
"last_updated": "2007-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "048389",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "048389",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.