Yw Professional and PFC Trading Alliance Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE007868 Issued in GA

Legal business name

YW PROFESSIONAL AND PFC TRADING ALLIANCE INC

Doing business as

Wai Kiu Famcare Pharmacy

Practice address

5150 Buford Hwy NE
Ste B180
Doraville, GA 30340-1153

Phone

(770) 455-8882

Fax

(770) 455-8806

NPI assigned

Nov 13, 2006

Last updated

Apr 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alec Chan, RPH

Title

Gen MGR

Phone

(770) 455-8882

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• WAI KIU FAMCARE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1699846618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 BUFORD HWY NE",
            "address_2": "STE B180",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401153",
            "telephone_number": "770-455-8882",
            "fax_number": "770-455-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 BUFORD HWY NE",
            "address_2": "STE B180",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401153",
            "telephone_number": "770-455-8882",
            "fax_number": "770-455-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YW PROFESSIONAL AND PFC TRADING ALLIANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "ALEC",
        "authorized_official_title_or_position": "GEN MGR",
        "authorized_official_telephone_number": "770-455-8882",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE007868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2019126",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000653243A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WAI KIU FAMCARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Hedge White, RPH., PD
• Ebony Williams, HAIR LOSS SPECIALIST
• Yao Nan Wu, D.C., P.C.
• Fan Xu
• Yoshiro Yajima, D.C.

• Community/Retail Pharmacy in Doraville, GA
• Providers in Doraville, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.