Active NPI
Xin Wang, PHARMD
- Pharmacist
- Loganville, GA
National Provider Identifier
1518235530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21636
- Practice address
- 4398 Atlanta Hwy
Loganville, GA 30052-7314 - Phone
- (678) 639-0213
- Fax
- (678) 639-1547
- NPI assigned
- Dec 5, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21636 | NC | Primary |
Addresses
Primary practice location
4398 Atlanta Hwy
Loganville, GA 30052-7314
Mailing address
4398 Atlanta Hwy
Loganville, GA 30052-7314
Phone (678) 639-0213
Other practice location 1
702 W Corbett Ave
Swansboro, NC 28584-8452
Phone (910) 325-0038
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 |
|---|---|---|---|
| 21636 | NC | MD | Massage Therapist |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1518235530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4398 ATLANTA HWY",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300527314",
"telephone_number": "678-639-0213",
"fax_number": "678-639-1547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4398 ATLANTA HWY",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300527314",
"telephone_number": "678-639-0213",
"fax_number": "678-639-1547"
}
],
"practiceLocations": [
{
"address_1": "702 W Corbett Ave",
"address_purpose": "LOCATION",
"city": "Swansboro",
"state": "NC",
"postal_code": "285848452",
"country_code": "US",
"telephone_number": "910-325-0038",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "XIN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-05",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "21636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loganville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.