Joann Kim Whang

Primary specialty

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

License

53870 Issued in TX

Practice address

2214 Paddock Way Dr Ste 900
Grand Prairie, TX 75050-8703

Phone

(800) 557-7221

NPI assigned

Nov 12, 2020

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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 Corporation of America

  • Long Term Care Pharmacy
  • Milwaukee, WI
  • NPI 1124665336
  NPD (past)

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1508468695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 PADDOCK WAY DR STE 900",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750508703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 PADDOCK WAY DR STE 900",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750508703",
            "telephone_number": "800-557-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHANG",
        "first_name": "JOANN",
        "middle_name": "KIM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "53870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellness Horizon LLC
• Wellness Plus Counseling Services, LLC
• Autumn Wells
• Wellspring Psychological Associates, P.L.L.C.Wellspring Psycho
• Whale of Hope, Inc.
• David Whisnant, PHARMD
• Whitcomb Memorial Physical Therapy, Inc.
• Donald Craig Whitcomb, M.D.
• Danielle White, CPI, CMAC, CPT, EKGC
• Eileen White, M.S., CCC-SLP

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.

Verify at the official NPI Registry.