Jessie Wang

Primary specialty

PharmacistTaxonomy code 183500000X

License

81328 Issued in CA

Practice address

3521 Del Paso Rd
Sacramento, CA 95835-2800

Phone

(916) 515-1866

NPI assigned

May 15, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Sacramento, CA
  • NPI 1629272794
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1740802479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 DEL PASO RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958352800",
            "telephone_number": "916-515-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 DEL PASO RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958352800",
            "telephone_number": "916-515-1866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 E Hatch Rd",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953514814",
            "country_code": "US",
            "telephone_number": "510-996-2969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "JESSIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "81328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric W. Wang, MD
• Harry Carl Wang, MD
• Hu-Shen Wang, D.O.M
• Jaw-Yan Wang, M.D.
• Jerry S. Wang, MD
• Johnston Y Wang, CPO
• Kim L Wang, M.D.
• Krystin Fong Wang, PHARMD
• Linda Wang, PHARM D.
• Michelle Wang

• Pharmacist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.