Active NPI
Mandy Wei
- Pharmacist
- Walnut Creek, CA
National Provider Identifier
1710411640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44072
- Practice address
- 2880 Shadeland Dr
Suite 201
Walnut Creek, CA 94598 - Phone
- (925) 979-6842
- NPI assigned
- Apr 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 44072 | CA | Primary |
Addresses
Primary practice location
2880 Shadeland Dr
Suite 201
Walnut Creek, CA 94598
Mailing address
880 Deer Spring Cir
Concord, CA 94521-5413
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44072 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492473600000",
"number": "1710411640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 DEER SPRING CIR",
"city": "CONCORD",
"state": "CA",
"postal_code": "945215413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2880 SHADELAND DR",
"address_2": "SUITE 201",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "94598",
"telephone_number": "925-979-6842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEI",
"first_name": "MANDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-18",
"last_updated": "2017-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "44072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.