Active NPI
Maegan Wang
- Pharmacist
- Encino, CA
National Provider Identifier
1285261420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 77845
- Practice address
- 17071 Ventura Blvd Ste 100
Encino, CA 91316-4117 - Phone
- (818) 788-5858
- NPI assigned
- Mar 26, 2020
- Last updated
- Mar 26, 2020
- Sex
- Female
- 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 | 77845 | CA | Primary |
Addresses
Primary practice location
17071 Ventura Blvd Ste 100
Encino, CA 91316-4117
Mailing address
16350 Ventura Blvd Ste D194
Encino, CA 91436-5300
Phone (323) 823-1506
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean Drug 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, 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": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585180800000",
"number": "1285261420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16350 VENTURA BLVD STE D194",
"city": "ENCINO",
"state": "CA",
"postal_code": "914365300",
"telephone_number": "323-823-1506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17071 VENTURA BLVD STE 100",
"city": "ENCINO",
"state": "CA",
"postal_code": "913164117",
"telephone_number": "818-788-5858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "MAEGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-26",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "77845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.