Active NPI
Helentina Pang, PHARM.D.
- Pharmacist
- Rohnert Park, CA
National Provider Identifier
1235520941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 71385
- Practice address
- 6285 Commerce Blvd
Rohnert Park, CA 94928-6301 - Phone
- (707) 583-0022
- NPI assigned
- Feb 17, 2015
- Last updated
- Feb 17, 2015
- Sex
- Female
- 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 | 71385 | CA | Primary |
Addresses
Primary practice location
6285 Commerce Blvd
Rohnert Park, CA 94928-6301
Mailing address
615 Healdsburg Ave
Unit 314
Santa Rosa, CA 95401-5164
Phone (714) 365-4497
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 |
|---|---|---|---|
| 71385 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1424131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424131200000",
"number": "1235520941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 HEALDSBURG AVE",
"address_2": "UNIT 314",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954015164",
"telephone_number": "714-365-4497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6285 COMMERCE BLVD",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949286301",
"telephone_number": "707-583-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANG",
"first_name": "HELENTINA",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-17",
"last_updated": "2015-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "71385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rohnert Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.