Individual provider Active NPI

Shuonan Wang, PHARMD

  • Pharmacist
  • San Antonio, TX
National Provider Identifier
1780289264
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
53262 Issued in TX
Practice address
7950 Floyd Curl Dr Ste 106
San Antonio, TX 78229-3916
Phone
(210) 616-0080
NPI assigned
Dec 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 53262 TX Primary

Addresses

Primary practice location

7950 Floyd Curl Dr Ste 106
San Antonio, TX 78229-3916

Mailing address

7103 Bella BLF
San Antonio, TX 78256-4406

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shuonan.wang@cvshealth.com Direct Procare Pharmacy, LLC

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

LicenseStateTypeSpecialty
53262TXMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Procare Pharmacy, LLC CurrentSince Feb 1, 2021 Accepting new patients
Procare Pharmacy, LLC. PastSince Dec 6, 2020 Accepting new patients

Locations

7950 Floyd Curl Dr
Ste 106
San Antonio, TX 78229
Phone (210) 616-0080

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": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1780289264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7103 BELLA BLF",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782564406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 FLOYD CURL DR STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293916",
            "telephone_number": "210-616-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "SHUONAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "53262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shuonan.wang@cvshealth.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Procare Pharmacy, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7950 Floyd Curl Dr Ste 106",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782293916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.