Active NPI
Wyson Pang, RPH
- Pharmacist
- Lemoore, CA
National Provider Identifier
1316420342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 74013
- Practice address
- 899 Dogwood Ave Apt 20B
Lemoore, CA 93245-5305 - Phone
- (510) 541-4465
- NPI assigned
- Sep 14, 2018
- Sex
- Male
- 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 | 74013 | CA | Primary |
Addresses
Primary practice location
899 Dogwood Ave Apt 20B
Lemoore, CA 93245-5305
Mailing address
899 Dogwood Ave Apt 20B
Lemoore, CA 93245-5305
Phone (510) 541-4465
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74013 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1316420342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "899 DOGWOOD AVE APT 20B",
"city": "LEMOORE",
"state": "CA",
"postal_code": "932455305",
"telephone_number": "510-541-4465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "899 DOGWOOD AVE APT 20B",
"city": "LEMOORE",
"state": "CA",
"postal_code": "932455305",
"telephone_number": "510-541-4465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANG",
"first_name": "WYSON",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-14",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "74013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lemoore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.