Active NPI
Cary Fang
- Pharmacist
- Carson, CA
National Provider Identifier
1841584638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 54115
- Practice address
- 20700 Avalon Blvd Ste 750
T-2026
Carson, CA 90746-3724 - Phone
- (310) 819-3012
- Fax
- (310) 819-3012
- NPI assigned
- Jun 8, 2011
- Sex
- Male
- 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 | 54115 | CA | Primary |
Addresses
Primary practice location
20700 Avalon Blvd Ste 750
T-2026
Carson, CA 90746-3724
Mailing address
20700 Avalon Blvd Ste 750
T-2026
Carson, CA 90746-3724
Phone (310) 819-3012
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 |
|---|---|---|---|
| 54115 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1307491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307491200000",
"number": "1841584638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20700 AVALON BLVD STE 750",
"address_2": "T-2026",
"city": "CARSON",
"state": "CA",
"postal_code": "907463724",
"telephone_number": "310-819-3012",
"fax_number": "310-819-3012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20700 AVALON BLVD STE 750",
"address_2": "T-2026",
"city": "CARSON",
"state": "CA",
"postal_code": "907463724",
"telephone_number": "310-819-3012",
"fax_number": "310-819-3012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANG",
"first_name": "CARY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-08",
"last_updated": "2011-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "54115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carson, CA
- Maria Fabian, RPT
- Alma Nartatez Fabro, FNP
- Faithful Medical Transportation LLC
- Family Practice Associates of Carson
- Family Practice Associates of Carson Medical Group Inc
- Johanna Fassbender
- Kelvin Deleno Felix
- Feliz Health Care, Inc
- Raulin Dadural Feria, APRN, FNP-BC
- Fulbert Brad Beltran Fernandez, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.