Active NPI
Thomas Wang
- Pharmacist
- Auburndale, NY
National Provider Identifier
1386967685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 045454
- Practice address
- 19301 Northern Blvd
Auburndale, NY 11358-2935 - Phone
- (718) 357-2050
- NPI assigned
- Mar 2, 2010
- Last updated
- Mar 2, 2020
- 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 | 045454 | NY | Primary |
Addresses
Primary practice location
19301 Northern Blvd
Auburndale, NY 11358-2935
Mailing address
19301 Northern Blvd
Auburndale, NY 11358-2935
Other practice location 1
12704 Guy R Brewer Blvd
Jamaica, NY 11434-2955
Phone (718) 978-4458
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
| License | State | Type | Specialty |
|---|---|---|---|
| 045454 | NY | MD | Pharmacist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583107200000",
"number": "1386967685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19301 NORTHERN BLVD",
"city": "AUBURNDALE",
"state": "NY",
"postal_code": "113582935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19301 NORTHERN BLVD",
"city": "AUBURNDALE",
"state": "NY",
"postal_code": "113582935",
"telephone_number": "718-357-2050"
}
],
"practiceLocations": [
{
"address_1": "12704 Guy R Brewer Blvd",
"address_purpose": "LOCATION",
"city": "Jamaica",
"state": "NY",
"postal_code": "114342955",
"country_code": "US",
"telephone_number": "718-978-4458",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "THOMAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-02",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "045454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburndale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.