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GRACE WANG NPI 1558426973


NPI Information

NPI: 1558426973
Provider Name: GRACE WANG

Doing Business As: MEDICINE SHOPPE

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2241 MICHAEL DR
NEWBURY PARK, CA
ZIP 91320
Phone: (805) 375-6650
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GRACE WANG is a community/retail pharmacy pharmacy in Newbury Park, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. GRACE WANG NPI is 1558426973. The provider is registered as an organization entity type.
The provider Is Doing Business As Medicine Shoppe.

The provider's business location address is:

2241 MICHAEL DR
NEWBURY PARK, CA
ZIP 91320-340
Phone: (805) 375-6650
Fax: (805) 375-6654

The provider's authorized official is Grace Wang .
The authorized official title is Owner Pharmacist and has the following contact phone number (805) 375-6650.

The enumeration date for this NPI number is 12/26/2006 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyPHY41868CALIFORNIANo
23336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10544836OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2PHY418680MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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