Active NPI
Eric Wang, PHARMD
- Pharmacist
- Cotati, CA
National Provider Identifier
1831471630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH64404
- Practice address
- 7800 Old Redwood Hwy
Cotati, CA 94931-5106 - Phone
- (707) 795-6014
- NPI assigned
- Sep 16, 2011
- Last updated
- Sep 16, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH64404 | CA | Primary |
Addresses
Primary practice location
7800 Old Redwood Hwy
Cotati, CA 94931-5106
Mailing address
4133 Middlefield Rd
Palo Alto, CA 94303-4742
Phone (650) 468-3654
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 |
|---|---|---|---|
| RPH64404 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316131200000",
"number": "1831471630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4133 MIDDLEFIELD RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943034742",
"telephone_number": "650-468-3654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 OLD REDWOOD HWY",
"city": "COTATI",
"state": "CA",
"postal_code": "949315106",
"telephone_number": "707-795-6014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "ERIC",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-16",
"last_updated": "2011-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH64404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cotati, CA
- Varlakova Dental Corporation (Cotati Dental Wellness)
- Ralitza Varlakova, D.D.S.
- Meta Lynn Velez, LPCC, LMFT
- Walgreen Co (Walgreens #03084)
- Malin Charlotte Wall, CMT
- Katie Josephine Werle, M.S. CCC SLP
- Candice Starr White, TC
- Windows Health Corporation (Windows Health Clinic)
- Scot Trent Wood
- Yang Dental Corp (Page Street Dental Care Office of Leo Yang, DDS &Kimberly Brasil RDHAP)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.