Active NPI
Andrea Lee Wang, PHARM.D.
- Oncology Pharmacist
- South Pasadena, CA
National Provider Identifier
1306218110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- 43500
- Practice address
- 1107 Fair Oaks Ave # 139
South Pasadena, CA 91030-3311 - Phone
- (626) 278-5044
- NPI assigned
- Oct 21, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 31311 | TX | |
| Psychiatric Pharmacist | 1835P1300X | 43500 | CA | |
| Oncology Pharmacist | 1835X0200X | 43500 | CA | Primary |
Addresses
Primary practice location
1107 Fair Oaks Ave # 139
South Pasadena, CA 91030-3311
Mailing address
1107 Fair Oaks Ave # 139
South Pasadena, CA 91030-3311
Phone (626) 278-5044
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 |
|---|---|---|---|
| 43500 | CA | MD | General Practice Dentistry |
| 31311 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445385600000",
"number": "1306218110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 FAIR OAKS AVE # 139",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910303311",
"telephone_number": "626-278-5044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 FAIR OAKS AVE # 139",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910303311",
"telephone_number": "626-278-5044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "ANDREA",
"middle_name": "LEE",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-21",
"last_updated": "2015-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "31311",
"primary": false
},
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "CA",
"license": "43500",
"primary": false
},
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "CA",
"license": "43500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.