Active NPI
Jinglei Wang
- Pharmacist
- La Quinta, CA
National Provider Identifier
1891398764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 72853
- Practice address
- 43100 Palm Royale Dr Apt 623
La Quinta, CA 92253-7996 - Phone
- (626) 675-8875
- NPI assigned
- Nov 20, 2020
- Last updated
- Nov 20, 2020
- Sex
- Female
- 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 | 72853 | CA | Primary |
Addresses
Primary practice location
43100 Palm Royale Dr Apt 623
La Quinta, CA 92253-7996
Mailing address
44075 Jefferson St
La Quinta, CA 92253-4871
Phone (760) 772-2969
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 |
|---|---|---|---|
| 72853 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | 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": "1605830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605830400000",
"number": "1891398764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44075 JEFFERSON ST",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922534871",
"telephone_number": "760-772-2969",
"fax_number": "760-772-5070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43100 PALM ROYALE DR APT 623",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922537996",
"telephone_number": "626-675-8875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "JINGLEI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-20",
"last_updated": "2020-11-20",
"certification_date": "2020-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "72853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Quinta, CA
- Vons Companies Inc (Vons Pharmacy #2175)
- Wal-Mart Stores, Inc. Dba Wal-Mart (Vision Center 30-4941)
- Walgreen Co (Walgreens #07765)
- Walmart Inc. (Walmart Pharmacy 10-1805)
- Walmart, Inc. (Walmart pharmacy 10-3164)
- Cassi Michelle Warren, RDH
- Suzanne E Waverek, MS, LMFT
- We Care Elder Care
- Shanice Weatherspoon, PHARM.D.
- Juliana Weed, CADC-CAS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.