Active NPI
Tina Wang
- Pharmacist
- Tucson, AZ
National Provider Identifier
1760769228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S019165
- Practice address
- 2175 W Ruthrauff Rd
Tucson, AZ 85705-1241 - Phone
- (520) 292-2549
- NPI assigned
- Nov 12, 2011
- 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 | S019165 | AZ | Primary |
Addresses
Primary practice location
2175 W Ruthrauff Rd
Tucson, AZ 85705-1241
Mailing address
8343 N Willow View Dr
Tucson, AZ 85741-3938
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 |
|---|---|---|---|
| S019165 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381795200000",
"number": "1760769228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8343 N WILLOW VIEW DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857413938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2175 W RUTHRAUFF RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857051241",
"telephone_number": "520-292-2549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "TINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-12",
"last_updated": "2013-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S019165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.