Active NPI
Jason Wayne Wu, PHARMD
- Pharmacy Technician
- Chicago, IL
National Provider Identifier
1356862171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 049.220784
- Practice address
- 757 N Michigan Ave
Chicago, IL 60611-2606 - Phone
- (312) 664-8686
- NPI assigned
- Jul 1, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 049.220784 | IL | Primary |
Addresses
Primary practice location
757 N Michigan Ave
Chicago, IL 60611-2606
Mailing address
2932 S Wallace St
Chicago, IL 60616-3035
Phone (916) 715-3661
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 |
|---|---|---|---|
| 049.220784 | IL | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Chicago, IL
- NPI 1225045214
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498867200000",
"number": "1356862171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2932 S WALLACE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606163035",
"telephone_number": "916-715-3661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 N MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112606",
"telephone_number": "312-664-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "JASON",
"middle_name": "WAYNE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-01",
"last_updated": "2017-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "IL",
"license": "049.220784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.