EDWARD WANG (NPI# 1134780208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134780208 |
| Entity Type | Individual |
| Full Name | EDWARD WANG |
| Credential | PHARMD |
| Practice Address |
100 Smith Ranch Rd San Rafael CA 94903-1900 |
| Practice Telephone | 4154926500 |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 79468 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376023101 | Edward J Wang | Dentist | 5606 Lakewood Towne Center Blvd Sw Ste B, Lakewood, WA 98499-3894 | 2018-08-21 |
| 1770760381 | Edward K Wang | Psychologist | 46 Meadowbrook Rd, Chestnut Hill, MA 02467-2933 | 2008-01-25 |
| 1972558666 | Edward Wang | Urology | 175 N Jackson Ave Ste 206, San Jose, CA 95116-1909 | 2006-05-23 |
| 1588293880 | Edward Wang | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 230, Las Vegas, NV 89102-2312 | 2020-04-07 |
| 1457987430 | Edward Chia-heng Wang | Student in an Organized Health Care Education/Training Program | 200 W. Arbor Dr., San Diego, CA 92103-8425 | 2020-03-21 |
| 1386131423 | Edward Wang | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Ste 220, Philadelphia, PA 19107-4405 | 2018-04-14 |
| 1811262884 | Edward Wang | General Practice | Weed Army Community Hospital, 390 North Loop Road, Fort Irwin, CA 92310 | 2012-03-09 |
| 1982806279 | Edward Haochuan Wang | Internal Medicine | 3201 S Wallace St, Chicago, IL 60616-3501 | 2007-05-31 |
| 1053460477 | Edward H. Wang | Internal Medicine | 9400 Rosecrans Ave, Bellflower, CA 90706-2246 | 2007-01-09 |
| 1477613644 | Edward C. Wang | Internal Medicine | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-12-11 |
| Street Address |
100 SMITH RANCH RD |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528240785 | Lifehouse Ine | Intermediate Care Facility, Mentally Retarded | 100 Smith Ranch Rd, Suite 309, San Rafael, CA 94903-1900 | 2007-11-29 |
| 1508418583 | Walid Khaled Aljayosi | Pharmacist | 100 Smith Ranch Rd, San Rafael, CA 94903-1900 | 2019-07-10 |
| 1518488097 | Shirley Feng | Pharmacist | 100 Smith Ranch Rd, San Rafael, CA 94903-1900 | 2017-07-05 |
| 1386165868 | Sirena Lau | Pharmacist | 100 Smith Ranch Rd, San Rafael, CA 94903-1900 | 2017-07-05 |
| 1013459254 | Ken Mak | Pharmacist | 100 Smith Ranch Rd, San Rafael, CA 94903-1900 | 2016-11-04 |
| 1568828390 | Ali Azarpira | Pharmacist | 100 Smith Ranch Rd, Kaiser Permanente, San Rafael, CA 94903-1900 | 2016-01-09 |
| 1306288790 | Jessica Renae Rucker | Counselor | 100 Smith Ranch Rd, San Rafael, CA 94903-1900 | 2013-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386112951 | Jessica Robinson | Pharmacist | 350 Northgate One, San Rafael, CA 94903-3415 | 2018-11-12 |
| 1225554470 | I-kuan Hsu | Pharmacist | 100 Smith Ranch Rd Fl 2, San Rafael, CA 94903-5552 | 2017-08-19 |
| 1558725168 | Tashi Gonpo | Pharmacist | 1500 Northgate Dr, San Rafael, CA 94903-3671 | 2016-04-09 |
| 1851718498 | Mayra Guzman | Pharmacist | 950 Las Gallinas Av, San Rafael, CA 94903 | 2014-03-20 |
| 1093144594 | Tiffany Deering | Pharmacist | 9 Diego Dr, San Rafael, CA 94903-2367 | 2013-11-05 |
| 1285063172 | Elham Barkhordari-bafoghi | Pharmacist | 1030 Cresta Way, Apt # 3, San Rafael, CA 94903-4842 | 2013-11-01 |
| 1194093351 | Jessica Anne Clubb | Pharmacist | 950 Las Gallinas Ave, Safeway Pharmacy, San Rafael, CA 94903 | 2011-12-02 |
| 1922308345 | Frank Peter Tarantino | Pharmacist | 485 Pinewood Dr, San Rafael, CA 94903-1331 | 2010-11-02 |
| 1740592492 | Dennis Philip Schafer | Pharmacist | 471 3rd St, San Rafael, CA 94901-3576 | 2010-07-10 |
| 1669606984 | Nicole Marie Clausen | Pharmacist | 1525 Francisco Blvd E Ste 2, San Rafael, CA 94901-5560 | 2009-05-14 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
Please comment or provide details below to improve the information on EDWARD WANG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.