DR. WICHITAH PRASOEU LENG


Address: 1010 W Lehigh Ave, Philadelphia, PA 19133-1640
Phone: 2672737000

DR. WICHITAH PRASOEU LENG (NPI# 1033455464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033455464
Entity Type Individual
Full Name DR. WICHITAH PRASOEU LENG
Credential PHARMD
Practice Address 1010 W Lehigh Ave
Philadelphia
PA 19133-1640
Practice Telephone 2672737000
Practice Fax Number 2672737057
Mailing Telephone 2672737000
Mailing Fax Number 2672737057
Enumeration Date 2012-12-12
Last Update Date 2012-12-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RP441711 PA Pharmacy Service Providers

Office Location

Street Address 1010 W LEHIGH AVE
City PHILADELPHIA
State PA
Zip Code 19133-1640

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962465674 Heidi J Syropoulos Internal Medicine 1010 W Lehigh Ave, Philadelphia, PA 19133-1640 2006-04-11
1841845369 Courage Medicine Health Center Inc. Family Medicine 1010 W Lehigh Ave, Philadelphia, PA 19133-1640 2019-08-02
1891243192 Jennifer Anne Mcpherson Counselor 1010 W Lehigh Ave, Philadelphia, PA 19133-1640 2016-09-14
1972971844 Diane T Frederick Nurse Practitioner 1010 W Lehigh Ave, Philadelphia, PA 19133-1640 2015-09-09
1811933559 Sarah E. Farrell Nurse Practitioner 1010 W Lehigh Ave, Philadelphia, PA 19133-1640 2006-06-21
1467497123 Trisha L Acri Family Medicine 1010 W Lehigh Ave, Philadelphia, PA 19133-1640 2006-06-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427525708 Delia Maria Home Care Agency LLC Home Health Aide 2945-47 N. 5th Street, Philadelphia, PA 19133 2018-10-25
1215417738 Ajaj Medical Equipment & Supplies Durable Medical Equipment & Medical Supplies 3116 North Front St, Philadelphia, PA 19133 2018-08-14
1730636101 Martha Pinto Registered Nurse 412 W. Lehigh Avenue, Philadelphia, PA 19133 2016-09-02
1295105989 Mariana Arguelles-alcazar Technician, Other 216 W. Somerset St, Esfuerzo Program, Philadelphia, PA 19133 2015-10-07
1750785457 Cinthya M Gonzalez Reveron Speech-Language Pathologist 2215 N American Street, Philadelphia, PA 19133 2014-10-09
1306166434 Roberto Hilario Counselor 29297 North 5th Street, Philadelphia, PA 19133 2010-06-11
1598919300 Pan American Academy Charter School Local Education Agency (LEA) 126 West Dauphin Street, Philadelphia, PA 19133 2008-11-06
1518157114 Jennifer Leah Hoffman Registered Nurse 452 W. Allegheny Ave, Philadelphia, PA 19133 2007-07-30
1245441534 Mark D. Lyons Physician Assistant 452 W. Allegheny Ave., Phila., PA 19133 2007-05-25
1104037613 Christian Santana Dentist 29 10 North 5th Street, Phila, PA 19133 2007-05-25
Find all providers in zip 19133

Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295355030 Nur Kazzaz Pharmacist 3401 N Broad St Ste B150, Philadelphia, PA 19140-5103 2020-04-22
1164903381 Suzanne Scott Giyanani Pharmacist 200 W Washington Sq Apt 3609, Philadelphia, PA 19106-3538 2018-08-25
1629412713 Rath Hean Pharmacist 2131 N Broad St, Philadelphia, PA 19122-1105 2013-04-19
1992010540 Wayne S Binder Pharmacist 9920 Bustleton Ave., Philadelphia, PA 19115 2010-08-06
1336453521 Casandra Bonita Jeter Pharmacist 2201 W Allegheny Ave, Philadelphia, PA 19132-1420 2010-07-30
1689993784 Alina Kandov Pharmacist 9920 Bustleton Avenue, Philadelphia, PA 19115-1006 2010-05-28
1700483120 James Joseph Cavage II Pharmacist 200 Stevens Dr, Philadelphia, PA 19113-1532 2020-10-08
1376165407 Jenny Au Pharmacist 3401 N Broad St, Philadelphia, PA 19140-5103 2020-05-12
1043831480 Alasan Jallow Pharmacist 3401 N Broad St, Philadelphia, PA 19140-5103 2020-04-27
1477190288 Sherin Abu Pharmacist 12311 Academy Rd, Philadelphia, PA 19154-1927 2019-12-01
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19133

Improve Information

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Dataset Information

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.

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