Grace Wang

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GRACE WANG

Doing business as

MEDICINE SHOPPE

Practice address

2241 Michael Dr
Newbury Park, CA 91320-3340

Phone

(805) 375-6650

Fax

(805) 375-6654

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Grace Wang, RPHNPI 1992115877

Title

Owner Pharmacist

Phone

(805) 375-6650

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MEDICINE SHOPPE Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Grace Wang

  • Pharmacist
  • Newbury Park, CA
  • NPI 1992115877
  NPD (past) Authorized official

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1558426973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 MICHAEL DR",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 MICHAEL DR",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203340",
            "telephone_number": "805-375-6650",
            "fax_number": "805-375-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE WANG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "805-375-6650",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY41868",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0544836",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY418680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Gonzales
• Carla Gonzalez
• Victoria Samantha Gonzalez
• Michael Joseph Goodman, D.C.
• Arad Allen Goudarzi, PHARM D.
• Graceful Care Hospice, Inc.
• Graceful Home Health Services, Inc
• Gratitude and Grit Physical Therapy Inc.
• Greg Rubin DDS
• Dawn Marie Groom

• Community/Retail Pharmacy in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.