Individual provider Active NPI

Pei-Ting Huang

  • Pharmacist
  • Eau Claire, WI
National Provider Identifier
1548049125
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
22328-40 Issued in WI
Practice address
3649 S Hastings Way
Eau Claire, WI 54701-8182
Phone
(715) 838-0447
NPI assigned
Sep 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 22328-40 WI Primary

Addresses

Primary practice location

3649 S Hastings Way
Eau Claire, WI 54701-8182

Mailing address

3649 S Hastings Way
Eau Claire, WI 54701-8182

Other practice location 1

433 Broadway St S
Menomonie, WI 54751-1822
Phone (715) 235-5349

Other practice location 2

535 E Division Ave
Barron, WI 54812-1171
Phone (715) 637-0991

Other practice location 3

2200 Brackett Ave
Eau Claire, WI 54701-4619
Phone (715) 839-0041

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

LicenseStateTypeSpecialty
22328-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin CVS Pharmacy, L.L.C. Past Accepting new patients
Wisconsin CVS Pharmacy, L.L.C. Past Accepting new patients
Wisconsin CVS Pharmacy, L.L.C. Past Accepting new patients
Wisconsin CVS Pharmacy LLC Past Accepting new patients

Organizations & group practices 4

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": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1548049125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3649 S HASTINGS WAY",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547018182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3649 S HASTINGS WAY",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547018182",
            "telephone_number": "715-838-0447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 Broadway St S",
            "address_purpose": "LOCATION",
            "city": "Menomonie",
            "state": "WI",
            "postal_code": "547511822",
            "country_code": "US",
            "telephone_number": "715-235-5349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 E Division Ave",
            "address_purpose": "LOCATION",
            "city": "Barron",
            "state": "WI",
            "postal_code": "548121171",
            "country_code": "US",
            "telephone_number": "715-637-0991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Brackett Ave",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547014619",
            "country_code": "US",
            "telephone_number": "715-839-0041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUANG",
        "first_name": "PEI-TING",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "22328-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.