Active NPI
Walt Yucheng Wang, PHARMD
- Pharmacist
- Cedar Rapids, IA
National Provider Identifier
1962202176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25256
- Practice address
- 2821 1St Ave SE
Cedar Rapids, IA 52402-4806 - Phone
- (319) 365-6306
- Fax
- (319) 365-0240
- NPI assigned
- Mar 17, 2025
- Last updated
- Dec 16, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS69999 | FL | |
| Pharmacist | 183500000X | 25256 | IA | Primary |
| Pharmacist | 183500000X | 051.307630 | IL |
Addresses
Primary practice location
2821 1St Ave SE
Cedar Rapids, IA 52402-4806
Mailing address
2150 James St Unit 5175
Coralville, IA 52241-8009
Phone (319) 332-2817
Other practice location 1
2751 Heartland Dr
Coralville, IA 52241-2731
Phone (319) 545-4600
Other practice location 2
1660 W Locust St
Davenport, IA 52804-3636
Phone (563) 324-3508
Other practice location 3
345 E 20th St
Dubuque, IA 52001-3514
Phone (563) 690-1836
Other practice location 4
2260 John F Kennedy Rd
Dubuque, IA 52002-2881
Phone (563) 582-1659
Other practice location 5
55 John F Kennedy Rd
Dubuque, IA 52002-5309
Phone (563) 556-3705
Other practice location 6
5750 C Ave NE
Cedar Rapids, IA 52402-1327
Phone (319) 730-2001
Other practice location 7
1905 N 2nd St
Clinton, IA 52732-2537
Phone (563) 243-2247
Other practice location 8
806 S 4th St
Clinton, IA 52732-5729
Phone (563) 242-8011
Other practice location 9
3325 16th Ave SW
Cedar Rapids, IA 52404-1455
Phone (319) 221-1498
Other practice location 10
1225 7th Ave
Marion, IA 52302-3406
Phone (319) 373-5415
Other practice location 11
1525 E Kimberly Rd
Davenport, IA 52807-1924
Phone (563) 386-6883
Other practice location 12
1720 W Kimberly Rd
Davenport, IA 52806-4742
Phone (563) 386-2070
Other practice location 13
2214 Muscatine Ave
Iowa City, IA 52240-6600
Phone (319) 354-2670
Other practice location 14
625 Pacha Pkwy
North Liberty, IA 52317-4831
Phone (319) 499-6006
Other practice location 15
830 Middle Rd
Bettendorf, IA 52722-4101
Phone (563) 355-5345
Other practice location 16
102 2nd St
Coralville, IA 52241-2606
Phone (319) 341-6153
Other practice location 17
3425 Middle Rd
Bettendorf, IA 52722-3404
Phone (563) 332-6049
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 |
|---|---|---|---|
| PS69999 | FL | MD | Pharmacist |
| 25256 | IA | MD | Pharmacist |
| 051.307630 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 19
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": "1742169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1962202176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 JAMES ST UNIT 5175",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522418009",
"telephone_number": "319-332-2817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 1ST AVE SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524024806",
"telephone_number": "319-365-6306",
"fax_number": "319-365-0240"
}
],
"practiceLocations": [
{
"address_1": "2751 Heartland Dr",
"address_purpose": "LOCATION",
"city": "Coralville",
"state": "IA",
"postal_code": "522412731",
"country_code": "US",
"telephone_number": "319-545-4600",
"fax_number": "319-545-4606",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1660 W Locust St",
"address_purpose": "LOCATION",
"city": "Davenport",
"state": "IA",
"postal_code": "528043636",
"country_code": "US",
"telephone_number": "563-324-3508",
"fax_number": "563-324-4025",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "345 E 20th St",
"address_purpose": "LOCATION",
"city": "Dubuque",
"state": "IA",
"postal_code": "520013514",
"country_code": "US",
"telephone_number": "563-690-1836",
"fax_number": "563-690-1842",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2260 John F Kennedy Rd",
"address_purpose": "LOCATION",
"city": "Dubuque",
"state": "IA",
"postal_code": "520022881",
"country_code": "US",
"telephone_number": "563-582-1659",
"fax_number": "563-582-1863",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 John F Kennedy Rd",
"address_purpose": "LOCATION",
"city": "Dubuque",
"state": "IA",
"postal_code": "520025309",
"country_code": "US",
"telephone_number": "563-556-3705",
"fax_number": "563-556-2616",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5750 C Ave NE",
"address_purpose": "LOCATION",
"city": "Cedar Rapids",
"state": "IA",
"postal_code": "524021327",
"country_code": "US",
"telephone_number": "319-730-2001",
"fax_number": "319-730-2007",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1905 N 2nd St",
"address_purpose": "LOCATION",
"city": "Clinton",
"state": "IA",
"postal_code": "527322537",
"country_code": "US",
"telephone_number": "563-243-2247",
"fax_number": "563-243-2331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "806 S 4th St",
"address_purpose": "LOCATION",
"city": "Clinton",
"state": "IA",
"postal_code": "527325729",
"country_code": "US",
"telephone_number": "563-242-8011",
"fax_number": "563-242-1646",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3325 16th Ave SW",
"address_purpose": "LOCATION",
"city": "Cedar Rapids",
"state": "IA",
"postal_code": "524041455",
"country_code": "US",
"telephone_number": "319-221-1498",
"fax_number": "319-221-1917",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1225 7th Ave",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "IA",
"postal_code": "523023406",
"country_code": "US",
"telephone_number": "319-373-5415",
"fax_number": "319-373-5397",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1525 E Kimberly Rd",
"address_purpose": "LOCATION",
"city": "Davenport",
"state": "IA",
"postal_code": "528071924",
"country_code": "US",
"telephone_number": "563-386-6883",
"fax_number": "563-386-6586",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1720 W Kimberly Rd",
"address_purpose": "LOCATION",
"city": "Davenport",
"state": "IA",
"postal_code": "528064742",
"country_code": "US",
"telephone_number": "563-386-2070",
"fax_number": "563-386-2340",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2214 Muscatine Ave",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522406600",
"country_code": "US",
"telephone_number": "319-354-2670",
"fax_number": "319-354-8577",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "625 Pacha Pkwy",
"address_purpose": "LOCATION",
"city": "North Liberty",
"state": "IA",
"postal_code": "523174831",
"country_code": "US",
"telephone_number": "319-499-6006",
"fax_number": "319-499-6007",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "830 Middle Rd",
"address_purpose": "LOCATION",
"city": "Bettendorf",
"state": "IA",
"postal_code": "527224101",
"country_code": "US",
"telephone_number": "563-355-5345",
"fax_number": "563-355-6908",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "102 2nd St",
"address_purpose": "LOCATION",
"city": "Coralville",
"state": "IA",
"postal_code": "522412606",
"country_code": "US",
"telephone_number": "319-341-6153",
"fax_number": "319-338-4773",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3425 Middle Rd",
"address_purpose": "LOCATION",
"city": "Bettendorf",
"state": "IA",
"postal_code": "527223404",
"country_code": "US",
"telephone_number": "563-332-6049",
"fax_number": "563-332-6162",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "WALT",
"middle_name": "YUCHENG",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-03-17",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS69999",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "25256",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.307630",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.