Active NPI
Thanh Hien Thi Wang, PHARM.D.
- Pharmacist
- Portland, OR
National Provider Identifier
1508299249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0013698
- Practice address
- 1040 NW 22ND Ave Ste 420
Portland, OR 97210-3062 - Phone
- (503) 406-3809
- NPI assigned
- Aug 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD14044 | AR | |
| Pharmacist | 183500000X | PH-3984 | HI | |
| Pharmacist | 183500000X | 1-105105 | KS | |
| Pharmacist | 183500000X | PH236427 | MA | |
| Pharmacist | 183500000X | 5302044409 | MI | |
| Pharmacist | 183500000X | 58312 | TX | |
| Pharmacist | 183500000X | PH0323 | GU | |
| Pharmacist | 183500000X | R-16582 | OK | |
| Pharmacist | 183500000X | 19109 | AL | |
| Pharmacist | 183500000X | 15203 | NE | |
| Pharmacist | 183500000X | 051299275 | IL | |
| Pharmacist | 183500000X | A1-0004894 | DE | |
| Pharmacist | 183500000X | P7416 | ID | |
| Pharmacist | 183500000X | 0013698 | OR | Primary |
Addresses
Primary practice location
1040 NW 22ND Ave Ste 420
Portland, OR 97210-3062
Mailing address
1040 NW 22ND Ave Ste 420
Portland, OR 97210-3062
Phone (503) 406-3809
Other practice location 1
9775 SW Gemini Dr
Beaverton, OR 97008-7148
Phone (866) 202-4014
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 |
|---|---|---|---|
| 58312 | TX | MD | Clinical Social Worker |
| 19109 | AL | MD | Pharmacist |
| PD14044 | AR | MD | Pharmacist |
| A1-0004894 | DE | MD | Pharmacist |
| PH0323 | GU | MD | Pharmacist |
| PH-3984 | HI | MD | Pharmacist |
| P7416 | ID | MD | Pharmacist |
| 051299275 | IL | MD | Pharmacist |
| 1-105105 | KS | MD | Pharmacist |
| PH236427 | MA | MD | Pharmacist |
| 5302044409 | MI | MD | Pharmacist |
| 15203 | NE | MD | Pharmacist |
| R-16582 | OK | MD | Pharmacist |
| 0013698 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1508299249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 NW 22ND AVE STE 420",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103062",
"telephone_number": "503-406-3809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 NW 22ND AVE STE 420",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103062",
"telephone_number": "503-406-3809"
}
],
"practiceLocations": [
{
"address_1": "9775 SW Gemini Dr",
"address_purpose": "LOCATION",
"city": "Beaverton",
"state": "OR",
"postal_code": "970087148",
"country_code": "US",
"telephone_number": "866-202-4014",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "THANH HIEN",
"middle_name": "THI",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-16",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD14044",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH-3984",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-105105",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH236427",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302044409",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "58312",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GU",
"license": "PH0323",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "R-16582",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "19109",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "15203",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051299275",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0004894",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P7416",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0013698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.