Healthcare Provider Details

I. General information

NPI: 1003289315
Provider Name (Legal Business Name): WILLIAM KUAN PHARMD, BCPS, BCCP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2015
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 BENSON RD
GARNER NC
27529-9059
US

IV. Provider business mailing address

2700 BENSON RD
GARNER NC
27529-9059
US

V. Phone/Fax

Practice location:
  • Phone: 984-202-7700
  • Fax:
Mailing address:
  • Phone: 984-202-7700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number059889
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number73951
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code1835C0206X
TaxonomyCardiology Pharmacist
License Number059889
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number018835
License Number StateKY
# 5
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number018835
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: