Active NPI
Lih-Wern Wang, PHARM.D.
- Pharmacist
- San Francisco, CA
National Provider Identifier
1760738330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0013358
- Practice address
- 530 Divisadero St
PMB 831
San Francisco, CA 94117 - Phone
- (207) 615-1265
- NPI assigned
- Jul 31, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 25608 | MD | |
| Pharmacist | 183500000X | PD15307 | AR | |
| Pharmacist | 183500000X | 42035 | TN | |
| Pharmacist | 183500000X | PST.022244 | LA | |
| Pharmacist | 183500000X | 61904 | TX | |
| Pharmacist | 183500000X | 0202217573 | VA | |
| Pharmacist | 183500000X | 15251 | OK | |
| Pharmacist | 183500000X | 5302047740 | MI | |
| Pharmacist | 183500000X | PH238606 | MA | |
| Pharmacist | 183500000X | 1-110011 | KS | |
| Pharmacist | 183500000X | PH-4424 | HI | |
| Pharmacist | 183500000X | 22337 | AL | |
| Pharmacist | 183500000X | PS63742 | FL | |
| Pharmacist | 183500000X | RPH033582 | GA | |
| Pharmacist | 183500000X | RPH-0013358 | OR | Primary |
Addresses
Primary practice location
530 Divisadero St
PMB 831
San Francisco, CA 94117
Mailing address
530 Divisadero St # 831
San Francisco, CA 94117-2213
Phone (415) 707-0117
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 |
|---|---|---|---|
| 61904 | TX | MD | Professional Counselor |
| 22337 | AL | MD | Pharmacist |
| PD15307 | AR | MD | Pharmacist |
| PS63742 | FL | MD | Pharmacist |
| RPH033582 | GA | MD | Pharmacist |
| PH-4424 | HI | MD | Pharmacist |
| 1-110011 | KS | MD | Pharmacist |
| PST.022244 | LA | MD | Pharmacist |
| PH238606 | MA | MD | Pharmacist |
| 5302047740 | MI | MD | Pharmacist |
| 15251 | OK | MD | Pharmacist |
| RPH-0013358 | OR | MD | Pharmacist |
| 42035 | TN | MD | Pharmacist |
| 0202217573 | VA | MD | Pharmacist |
| 25608 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648944000000",
"number": "1760738330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 DIVISADERO ST # 831",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941172213",
"telephone_number": "415-707-0117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 DIVISADERO ST",
"address_2": "PMB 831",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94117",
"telephone_number": "207-615-1265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "LIH-WERN",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-31",
"last_updated": "2022-04-03",
"certification_date": "2022-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "25608",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD15307",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "42035",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.022244",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "61904",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202217573",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "15251",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302047740",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH238606",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-110011",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH-4424",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "22337",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS63742",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH033582",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0013358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.