Active NPI
Tracy M Dang, PHARMD
- Pharmacist
- Corona, CA
National Provider Identifier
1962044107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 79044
- Practice address
- 1322 W 6TH St
Corona, CA 92882-3167 - Phone
- (951) 817-8636
- NPI assigned
- Oct 9, 2019
- Last updated
- Oct 9, 2019
- 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 | 79044 | CA | Primary |
Addresses
Primary practice location
1322 W 6TH St
Corona, CA 92882-3167
Mailing address
622 E Merced Ave
West Covina, CA 91790-5141
Phone (626) 322-8683
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 |
|---|---|---|---|
| 79044 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Current | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Locations
1322 W 6th St
Corona, CA 92882
Phone (951) 371-9047
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": "1570579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1962044107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 E MERCED AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917905141",
"telephone_number": "626-322-8683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1322 W 6TH ST",
"city": "CORONA",
"state": "CA",
"postal_code": "928823167",
"telephone_number": "951-817-8636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANG",
"first_name": "TRACY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-09",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "79044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.