Individual provider Active NPI

Mi Hwa Bang

  • Pharmacist
  • Woodland Hills, CA
National Provider Identifier
1699159087
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH 56982 Issued in CA
Practice address
22554 Ventura Blvd
Suite 100
Woodland Hills, CA 91364-1413
Phone
(818) 222-9877
Fax
(818) 222-7389
NPI assigned
Jul 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH 56982 CA Primary

Addresses

Primary practice location

22554 Ventura Blvd
Suite 100
Woodland Hills, CA 91364-1413

Mailing address

22554 Ventura Blvd
Suite 100
Woodland Hills, CA 91364-1413
Phone (818) 222-9877

Other identifiers 1

IdentifierTypeStateIssuer
RPH 56982OtherCARPH

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
RPH 56982CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mia Pharmacy Inc Current Accepting new patients

Locations

22554 Ventura Blvd
Ste 100
Woodland Hills, CA 91364
Phone (818) 222-9877

Organizations & group practices 1

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": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1699159087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22554 VENTURA BLVD",
            "address_2": "SUITE 100",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641413",
            "telephone_number": "818-222-9877",
            "fax_number": "818-222-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22554 VENTURA BLVD",
            "address_2": "SUITE 100",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641413",
            "telephone_number": "818-222-9877",
            "fax_number": "818-222-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANG",
        "first_name": "MI HWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 56982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH",
            "identifier": "RPH 56982",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.