Active NPI
Evie Yang, PHARM.D
- Pharmacist
- Oceanside, CA
National Provider Identifier
1942571377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 53495
- Practice address
- 4181 Oceanside Blvd
Oceanside, CA 92056-6004 - Phone
- (760) 536-7330
- NPI assigned
- Jan 17, 2012
- Sex
- Female
- 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 | 53495 | CA | Primary |
Addresses
Primary practice location
4181 Oceanside Blvd
Oceanside, CA 92056-6004
Mailing address
11505 Caminito la Bar Apt 96
San Diego, CA 92126-6007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53495 | Other | CA | PHARMACIST LICENSE |
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 |
|---|---|---|---|
| 53495 | 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 and National Provider Directory roles.
-
- Pharmacy
- Oceanside, CA
- NPI 1659673739
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326758400000",
"number": "1942571377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11505 CAMINITO LA BAR APT 96",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921266007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4181 OCEANSIDE BLVD",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920566004",
"telephone_number": "760-536-7330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "EVIE",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-17",
"last_updated": "2012-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "53495",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "53495",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.