Active NPI
Chien-Fuh Wang, PHARM D
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1639609738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 54846
- Practice address
- 2419 Workman St
Los Angeles, CA 90031-2319 - Phone
- (323) 223-9059
- Fax
- (323) 223-9684
- NPI assigned
- Jun 13, 2017
- Last updated
- Jun 13, 2017
- Sex
- Male
- 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 | 54846 | CA | Primary |
Addresses
Primary practice location
2419 Workman St
Los Angeles, CA 90031-2319
Mailing address
1678 Edenboro
West Covina, CA 91791-4152
Phone (626) 379-5822
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 |
|---|---|---|---|
| 54846 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients | |
| Garfield Beach CVS LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497312000000",
"number": "1639609738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1678 EDENBORO",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917914152",
"telephone_number": "626-379-5822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2419 WORKMAN ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900312319",
"telephone_number": "323-223-9059",
"fax_number": "323-223-9684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "CHIEN-FUH",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-13",
"last_updated": "2017-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "54846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.