George Christian Wang, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH00039038 Issued in WA

Practice address

5500 Martin Way E
Lacey, WA 98516-6326

Phone

(360) 456-4057

Fax

(360) 456-0903

NPI assigned

Sep 29, 2007

Last updated

Sep 29, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1191024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191024000000",
    "number": "1336336742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 BOULEVARD HEIGHTS LOOP SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985014396",
            "telephone_number": "360-236-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MARTIN WAY E",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985166326",
            "telephone_number": "360-456-4057",
            "fax_number": "360-456-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "GEORGE",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-29",
        "last_updated": "2007-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00039038",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "36379",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew D Wall, DDS, MSD
• Sharon D Wallace
• Walmart Inc. (WalMart Pharmacy 10-4757)
• Walmart Inc. (Walmart Pharmacy 10-3531)
• Matthew Waltrip
• Hui Wang, MD
• Jeffery B Wang, LMT
• Nancy Wang, DDS
• Jordan Ward
• Warren Physician Services

• Pharmacist in Lacey, WA
• Providers in Lacey, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2007; 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.