NPIMap

Individual provider Active NPI

Shannon Kim-Lien Hang

  • Pharmacist
  • Alhambra, CA
National Provider Identifier
1346851706
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
82786 Issued in CA
Practice address
2532 W Valley Blvd
Alhambra, CA 91803-1934
Phone
(626) 308-1001
Fax
(626) 308-1418
NPI assigned
Aug 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 82786 CA Primary

Addresses

Primary practice location

2532 W Valley Blvd
Alhambra, CA 91803-1934

Mailing address

2532 W Valley Blvd
Alhambra, CA 91803-1934
Phone (626) 308-1001

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

State licenses

LicenseStateTypeSpecialty
82786CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Garfield Beach CVS LLC PastSince Aug 1, 2020 Accepting new patients
Garfield Beach CVS LLC PastSince Oct 1, 2020 Accepting new patients
Garfield Beach CVS, L.L.C. PastSince Aug 1, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1346851706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 W VALLEY BLVD",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918031934",
            "telephone_number": "626-308-1001",
            "fax_number": "626-308-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 W VALLEY BLVD",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918031934",
            "telephone_number": "626-308-1001",
            "fax_number": "626-308-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANG",
        "first_name": "SHANNON",
        "middle_name": "KIM-LIEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "82786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.