Kaochong Yang, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

19422 Issued in WI

Practice address

901 Main Ave
De Pere, WI 54115-1305

Phone

(920) 983-6153

Fax

(920) 983-6183

NPI assigned

Feb 24, 2020

Last updated

Feb 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rxm.10235@store.walgreens.com

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.

• Walgreen Co

  dba Walgreens #10235

  • Pharmacy
  • De Pere, WI
  • NPI 1457398273
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1285268714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MAIN AVE",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541151305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MAIN AVE",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541151305",
            "telephone_number": "920-983-6153",
            "fax_number": "920-983-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "KAOCHONG",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "19422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "19422-40",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxm.10235@store.walgreens.com",
            "affiliation": "N",
            "endpointDescription": "rxm email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "901 Main Ave",
            "city": "DE Pere",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541151305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anne C Wollan, LPC
• Kyle P Wood, MD
• Nicole Danielle Wood, OTR/L
• Spencer L Woodward, DC
• Cheryl L Wozniak, RPH
• Pahoua Yang, REGISTERED NURSE
• Chad V Yenchesky, DDS
• Deborah K Young, PTA
• Matt Zak, M.D.
• Ann M Zellner, MD

• Pharmacist in De Pere, WI
• Providers in De Pere, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.