Active NPI
Tony Wan, PHARM.D.
- Pharmacist
- Pasadena, CA
National Provider Identifier
1881613339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45556
- Practice address
- 50 Alessandro PL Ste A50
Pasadena, CA 91105-3162 - Phone
- (626) 858-8521
- NPI assigned
- Jul 18, 2006
- 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 | 45556 | CA | Primary |
Addresses
Primary practice location
50 Alessandro PL Ste A50
Pasadena, CA 91105-3162
Mailing address
1112 S Golden West Ave # 103
Arcadia, CA 91007-7416
Phone (626) 447-9936
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881613339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 S GOLDEN WEST AVE # 103",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910077416",
"telephone_number": "626-447-9936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 ALESSANDRO PL STE A50",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053162",
"telephone_number": "626-858-8521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAN",
"first_name": "TONY",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "45556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.