JIM WANG (NPI# 1558646794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558646794 |
| Entity Type | Individual |
| Full Name | JIM WANG |
| Practice Address |
15500 Washington Ave San Leandro CA 94579-1839 |
| Mailing Address |
3531 Dickenson Cmn Fremont CA 94538-2271 |
| Practice Telephone | 5104833917 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH61743 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720334873 | Jim Wang | Case Manager/Care Coordinator | 21426 41st Ave, Bayside, NY 11361-2159 | 2012-07-26 |
| 1962614388 | Jim Wang | Family Medicine | 2210 E Calvada Blvd, Pahrump, NV 89048-5804 | 2007-05-06 |
| 1457428674 | Jim C. Wang | Ophthalmology | 1 Stadium Drive, Morgantown, WV 26506 | 2006-11-30 |
| Street Address |
15500 WASHINGTON AVE |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94579-1839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972518256 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 15500 Washington Ave, San Leandro, CA 94579-1839 | 2006-07-29 |
| 1952800633 | Amanda Chan | Pharmacist | 15500 Washington Ave, San Leandro, CA 94579-1839 | 2018-02-07 |
| 1881144475 | Christopher Ren Zhu | Pharmacist | 15500 Washington Ave, San Leandro, CA 94579-1839 | 2016-10-07 |
| 1861866212 | Mina Um | Pharmacist | 15500 Washington Ave, San Leandro, CA 94579-1839 | 2015-11-23 |
| 1508259680 | Paula Ibkhiroun | Pharmacist | 15500 Washington Ave, San Leandro, CA 94579-1839 | 2015-03-12 |
| 1669757183 | Emmanuel Kofi Bossman | Pharmacist | 15500 Washington Ave, San Leandro, CA 94579-1839 | 2011-10-16 |
| 1386928463 | Hoa Tran | Pharmacist | 15500 Washington Ave, San Leandro, CA 94579-1839 | 2011-10-06 |
| 1518249275 | Chandrika B Patel | Pharmacist | 15500 Washington Ave, San Leandro, CA 94579-1839 | 2011-09-19 |
| 1275814824 | Sara Lam | Pharmacist | 15500 Washington Ave, San Leandro, CA 94579-1839 | 2011-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326546227 | Thai-son Hoang Nguyen | Pharmacist | 15500 Washingston Ave, San Leandro, CA 94579 | 2018-01-25 |
| 1174079370 | Ngan Kim Tran | Dentist | 1513 Hickory Ave, San Leandro, CA 94579 | 2016-08-28 |
| 1801223581 | Sara Litpon-carey | Social Worker | 16335 East 14th Street, 2nd Floor, San Leandro, CA 94579 | 2013-09-26 |
| 1336143189 | Loreto R Sicam Jr. | Dentist | 699 Lewelling Blvd, Ste 300, San Leandro, CA 94579 | 2005-06-09 |
| 1831309491 | Alice Tangi Blancaflor | Dentist | 699 Lewelling Blvd, Ste 300, San Leandro, CA 94579 | 2007-05-23 |
| 1497224885 | Sonia Zuniga Morales | Behavior Technician | 14389 Elm St, San Leandro, CA 94579-1028 | 2018-11-15 |
| 1770992380 | Stars, Inc. | Community/Behavioral Health | 14790 Corvallis Street, Counseling Office, San Leandro, CA 94579-1174 | 2014-08-07 |
| 1497222707 | Stephanie Clare Bowar | Behavior Technician | 14690 Wiley St, San Leandro, CA 94579-1213 | 2018-10-25 |
| 1427231349 | San Leandro Unified School District | Local Education Agency (LEA) | 14735 Juniper St, San Leandro, CA 94579-1222 | 2007-12-13 |
| 1639657752 | Erika Apel | Counselor | 1324 Avon Ave, San Leandro, CA 94579-1340 | 2018-07-31 |
| Find all providers in zip 94579 | ||||
| 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 |
|---|---|---|---|---|
| 1871130146 | Wendy Nga Wing Cheng | Pharmacist | 755 Moraga Dr, San Leandro, CA 94578-4044 | 2019-12-05 |
| 1013492552 | Jessica Wong | Pharmacist | 2268 Oceanside Way, San Leandro, CA 94579-2786 | 2018-10-01 |
| 1326546227 | Thai-son Hoang Nguyen | Pharmacist | 15500 Washingston Ave, San Leandro, CA 94579 | 2018-01-25 |
| 1679007421 | May Chan | Pharmacist | 725 Buriat St, San Leandro, CA 94577-1571 | 2017-04-19 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1023499506 | Myong H Kim | Pharmacist | 1266 Alder Creek Cir, San Leandro, CA 94577-5156 | 2015-06-10 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1073942330 | Harvey Victor Chin I | Pharmacist | 2102 Hillside Cir, San Leandro, CA 94577-6348 | 2013-11-07 |
| 1073878112 | Shik-ki Li | Pharmacist | 3785 Anza Way, San Leandro, CA 94578-4107 | 2012-07-04 |
| 1780952630 | Dianna H Wong | Pharmacist | 15850 E14 Th Street, San Leandro, CA 94578-2024 | 2011-12-07 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94579 |
Please comment or provide details below to improve the information on JIM 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.