MR. GEORGE CHRISTIAN WANG (NPI# 1336336742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336336742 |
| Entity Type | Individual |
| Full Name | MR. GEORGE CHRISTIAN WANG |
| Credential | PHARMACIST |
| Practice Address |
5500 Martin Way E Lacey WA 98516-6326 |
| Mailing Address |
2436 Boulevard Heights Loop Se Olympia WA 98501-4396 |
| Practice Telephone | 3604564057 |
| Practice Fax Number | 3604560903 |
| Mailing Telephone | 3602360263 |
| Enumeration Date | 2007-09-29 |
| Last Update Date | 2007-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 36379 | TX | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PH00039038 | WA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303954 | George P Wang | Acupuncturist | 4336 147th St, Flushing, NY 11355-1755 | 2020-07-15 |
| 1669507588 | George C. Wang | Internal Medicine | 60a Ridgedale Ave, Morristown, NJ 07960-9418 | 2007-02-22 |
| 1962499616 | George H Wang | Obstetrics & Gynecology | 2211 S Atlantic Blvd, Suite B, Monterey Park, CA 91754-6833 | 2005-09-28 |
| 1346879418 | George Wang | Student in an Organized Health Care Education/Training Program | 333 City Blvd W Ste 2150, Orange, CA 92868-5920 | 2020-04-02 |
| 1295175388 | George Jen Fu Wang | Pathology | 601 N 30th St, Cu Department of Pathology, Omaha, NE 68198-5582 | 2013-07-03 |
| 1124344767 | George C Wang | Psychiatry & Neurology | 3747 Worsham Ave Ste 100, Long Beach, CA 90808-1734 | 2010-04-07 |
| 1801051149 | George K Wang | Student in an Organized Health Care Education/Training Program | 1275 York Ave, New York, NY 10065-6007 | 2008-07-25 |
| 1205005584 | George Jaw-jen Wang | Family Medicine | 797 S Fair Oaks Ave, Pasadena, CA 91105-2617 | 2008-02-21 |
| 1487867198 | George Wang | Dentist | 817 W Pioneer Pkwy, #150, Grand Prairie, TX 75051-4710 | 2007-05-08 |
| 1275658734 | George Tian-yi Wang | Radiology | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911 | 2007-03-20 |
| Street Address |
5500 MARTIN WAY E |
| City | LACEY |
| State | WA |
| Zip Code | 98516-6326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033161419 | Shopko Stores Operating Co. LLC | Optometrist | 5500 Martin Way E, Lacey, WA 98516-6326 | 2006-05-16 |
| 1972879401 | Kenneth R Petersen | Pharmacist | 5500 Martin Way E, Lacey, WA 98516-6326 | 2012-03-29 |
| 1720351000 | Michelle Teri Kautzmann | Pharmacist | 5500 Martin Way E, Lacey, WA 98516-6326 | 2012-02-16 |
| 1962442392 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 5500 Martin Way E, Lacey, WA 98516-6326 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730744210 | Michael Oropeza | Behavioral Analyst | 8282 28th Court Northeast, Suite A, Lacey, WA 98516 | 2019-05-09 |
| 1902361330 | Amanda Jessica Mae Allen | Behavioral Analyst | Basics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516 | 2019-02-11 |
| 1619459393 | Kayla-renee Williams | Behavioral Analyst | Basics Nw LLC 8282 28th Ct Ne, Suite A, Lacey, WA 98516 | 2018-08-30 |
| 1174004303 | Julie Ann Lisowski | Massage Therapist | 3532 Cuddy Ln Ne, Lacey, WA 98516 | 2018-08-26 |
| 1740700145 | Joseph Brandon Kimmel | Denturist | 5032 Beverly Dr Ne, Olympia, WA 98516 | 2017-06-27 |
| 1649649880 | Katie Cole | Behavioral Analyst | 8282 28th Ct Ne, Suite A, Basics Nw, LLC, Lacey, WA 98516 | 2015-09-17 |
| 1306234166 | Reza Tahernia | Dentist | 8050 Freedon Lane Ne, Suite C, Lacey, WA 98516 | 2015-01-02 |
| 1770997603 | Qualified Surgical Services Pllc | Surgery | 3697 Cameron Dr Ne, Lacey, WA 98516 | 2014-06-18 |
| 1184048688 | Stephanie Renee Hjortedal | Specialist/Technologist | 8750 Tallon Lane Ne., Lacey, WA 98516 | 2014-02-05 |
| 1295169811 | Teasha Corrado | Behavioral Analyst | 8282 28th Court Ne, Suite A, Lacey, WA 98516 | 2013-08-30 |
| Find all providers in zip 98516 | ||||
| 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 |
|---|---|---|---|---|
| 1790335677 | Mercy N Macharia | Pharmacist | 4625 45th Ave Se, Lacey, WA 98503-5942 | 2019-09-12 |
| 1245711043 | Jiyeon Han | Pharmacist | 6619 Britton Pkwy Ne Apt 309, Lacey, WA 98516-4572 | 2018-08-28 |
| 1851751291 | Jennifer Austin | Pharmacist | 5707 Lacey Blvd Se Ste 103, Lacey, WA 98503-2496 | 2016-02-27 |
| 1114320835 | Michael Herman | Pharmacist | 1138 Golf Club Rd Se, Apt 102, Lacey, WA 98503-2393 | 2014-10-08 |
| 1477980134 | Angela Karr | Pharmacist | 4918 Balustrade Blvd Se, Lacey, WA 98513 | 2013-09-26 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1922361898 | Srawan Kumar Thodupunoori | Pharmacist | 6100 Pacific Ave Se, Lacey, WA 98503-1358 | 2012-06-16 |
| 1154694123 | Victoria Urankar Byrd | Pharmacist | 3897 Cameron Dr Ne, Lacey, WA 98516-3888 | 2012-02-21 |
| 1932492246 | Denise Byrne | Pharmacist | 4776 Whitman Ln Se, Lacey, WA 98513-2246 | 2011-05-18 |
| 1396037735 | Edith Uchenna Naze | Pharmacist | 691 Sleater Kinney Rd Se, Lacey, WA 98503-1007 | 2011-05-04 |
| Find all providers in LACEY | ||||
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| 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.