Indriani Wang, PHARM.D.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

61256 Issued in CA

Practice address

2000 Embarcadero
Suite 400
Oakland, CA 94606-5334

Phone

(510) 567-8101

Fax

(510) 567-6850

NPI assigned

Oct 15, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1396055075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 CROSBY CT",
            "address_2": "#4",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945981829",
            "telephone_number": "510-567-8101",
            "fax_number": "510-567-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 EMBARCADERO",
            "address_2": "SUITE 400",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946065334",
            "telephone_number": "510-567-8101",
            "fax_number": "510-567-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "INDRIANI",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "61256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chung-Che Charles Wang, MD
• Corina H. Wang, MD
• David Wang, DPM
• Gina Ru-Jiun Wang, MD
• Hank S. Wang, MD
• Jason Feng Wang, MD, MS
• Jeffrey Wang, MD
• Jessica S Wang, M.D.
• Joann D. Wang, PHARM. D.
• John Tin Wang, PHARMD

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Oakland, CA
• Providers in Oakland, CA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.