Active NPI
Wootack Kang
- Pharmacist
- Parsippany, NJ
National Provider Identifier
1962026922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI04092700
- Practice address
- 164 Parsippany Rd
Parsippany, NJ 07054-4708 - Phone
- (973) 887-9444
- NPI assigned
- Jun 4, 2020
- 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 | 28RI04092700 | NJ | Primary |
Addresses
Primary practice location
164 Parsippany Rd
Parsippany, NJ 07054-4708
Mailing address
70 Reservoir Ave Apt 2B
River Edge, NJ 07661-2501
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 |
|---|---|---|---|
| 28RI04092700 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Royal Plaza Drug LLC | Past | Accepting new patients | |
| Greenhill Pharmacy Corporation | 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.
-
- Community/Retail Pharmacy
- Parsippany, NJ
- NPI 1831108240
-
- Community/Retail Pharmacy
- Fort Lee, NJ
- NPI 1700375292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668038400000",
"number": "1962026922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 RESERVOIR AVE APT 2B",
"city": "RIVER EDGE",
"state": "NJ",
"postal_code": "076612501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 PARSIPPANY RD",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070544708",
"telephone_number": "973-887-9444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "WOOTACK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-04",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI04092700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parsippany, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.