Active NPI
Monika Stephanie Wan, PHARMD
- Pharmacist
- Pomona, CA
National Provider Identifier
1699287938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 77743
- Practice address
- 710 Rio Rancho Road
Pomona, CA 91766 - Phone
- (909) 634-3152
- NPI assigned
- Oct 26, 2017
- 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 | 77743 | CA | Primary |
Addresses
Primary practice location
710 Rio Rancho Road
Pomona, CA 91766
Mailing address
2960 Huntington Dr Unit 80965
San Marino, CA 91118-7048
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 |
|---|---|---|---|
| 77743 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508976000000",
"number": "1699287938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2960 HUNTINGTON DR UNIT 80965",
"city": "SAN MARINO",
"state": "CA",
"postal_code": "911187048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 RIO RANCHO ROAD",
"city": "POMONA",
"state": "CA",
"postal_code": "91766",
"telephone_number": "909-634-3152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAN",
"first_name": "MONIKA",
"middle_name": "STEPHANIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-26",
"last_updated": "2017-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "77743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.