Tracy Kathryn Wang

Primary specialty

PharmacistTaxonomy code 183500000X

License

129658-8913 Issued in UT

Practice address

845 E 4500 S
Salt Lake City, UT 84107-3049

Phone

(801) 261-8787

Fax

(801) 263-8523

NPI assigned

Oct 24, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Smiths Food & Drug Centers Inc

  • Community/Retail Pharmacy
  • Salt Lake City, UT
  • NPI 1861417495
  NPD (past)
• Smith'S Food & Drug Centers Inc

  • Community/Retail Pharmacy
  • Henderson, NV
  • NPI 1881585248
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1962045633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 E 4500 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073049",
            "telephone_number": "801-261-8787",
            "fax_number": "801-263-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 E 4500 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073049",
            "telephone_number": "801-261-8787",
            "fax_number": "801-263-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "TRACY",
        "middle_name": "KATHRYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "129658-8913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haibo Wang
• Jennifer C. Wang, MD
• Libo Wang, M.D.
• Shixian Wang
• Sophia H. Wang, MD, MS
• Vivian Liting Wang, MD
• Richard Wangsgarsd
• Hannah J Wankier
• Zakary Wankier
• Brandi Wanlass

• Pharmacist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.