1. Home
  2. Directory
  3. California
  4. Ontario
  5. Pharmacist
  6. NPI Profile

MICHAEL WAN PHARMD
NPI 1134580061
Pharmacist in Ontario, CA

Active since March 20, 2016
2456 S GROVE AVE, ONTARIO, CA 91761(909) 947-9390 Get Directions Write a Review

NPPES record last updated: March 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Wan Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL WAN PHARMD (NPI 1134580061) is an individual pharmacist in Ontario, California, licensed in California (74190) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1134580061
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMICHAEL WANCredential: PHARMD
Location Address2456 S GROVE AVEOntario, CA 91761-6224
Mailing Address2456 S Grove AveOntario, CA 91761-6224
Phone(909) 947-9390
Sole ProprietorNo
Enumeration DateMarch 20, 2016
✔ NPI 1134580061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses✔ Licensed in CA · 74190✔ Licensed in CO · PHA.0021036
Definition
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.
2456 S GROVE AVE, Ontario, CA 91761
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARFIELD BEACH CVS LLC
Pharmacy
2456 S GROVE AVE
ONTARIO, CA 91761
San Bernardino County (909) 947-9390
DR. RYAN BALANGUE DE JESUS PHARMD
Pharmacist
2456 S GROVE AVE
ONTARIO, CA 91761
San Bernardino County (909) 947-9390
KIM THI TRAN
Pharmacist
2456 S GROVE AVE
ONTARIO, CA 91761
San Bernardino County (909) 947-9390

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Wan's NPI number?

The NPI number for Michael Wan is 1134580061. It was assigned to this individual provider in the NPPES registry on March 20, 2016.

Where is Michael Wan located?

Michael Wan practices at 2456 S Grove Ave, Ontario, CA 91761. The listed phone number is (909) 947-9390.

What is Michael Wan's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Michael Wan was last updated on March 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.