JOSHUA WONG (NPI# 1144834813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144834813 |
| Entity Type | Individual |
| Full Name | JOSHUA WONG |
| Practice Address |
3521 Nw Samaritan Dr Corvallis OR 97330-4744 |
| Mailing Address |
3521 Nw Samaritan Dr Ste 102 Corvallis OR 97330-4744 |
| Practice Telephone | 5417685185 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPH-0018017 | OR | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH-0018017 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902425747 | Joshua Wong | Behavior Technician | 99-1010 Lauole St, Aiea, HI 96701-3033 | 2020-04-12 |
| 1750737052 | Joshua Nick Kar Wong | Student in an Organized Health Care Education/Training Program | 325 Ninth Avenue, Box 359796 7ct-58, Harborview Medical Center, Seattle, WA 98104-2499 | 2016-05-05 |
| 1346859022 | Joshua Benjamin Wong | Pharmacist | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-07-28 |
| 1609431865 | Joshua Wong | Student in an Organized Health Care Education/Training Program | 1 Gustave L Levy Pl # 1076, New York, NY 10029-6504 | 2019-05-03 |
| 1639602139 | Joshua Michael Wong | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Lane 154, Stanford, CA 94305-2200 | 2017-04-11 |
| 1083092837 | Joshua Wong | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd, Shands Hospital, Room 4102, Gainesville, FL 32610-3003 | 2015-05-13 |
| 1811301146 | Joshua B Wong | Family Medicine | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2014-06-14 |
| 1003228636 | Joshua Wong | Dentist | 14001 Charter Park Dr, Midlothian, VA 23114-4452 | 2014-06-02 |
| 1366853137 | Joshua Wong | Dentist | 3476 Camino Tassajara, Danville, CA 94506-4680 | 2014-05-15 |
| 1255674958 | Joshua W Wong | Anesthesiology | 531 W College St, Los Angeles, CA 90012-2315 | 2013-04-01 |
| Street Address |
3521 NW SAMARITAN DR |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-4744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154373868 | Dena M. Hulting | Physician Assistant | 3521 Nw Samaritan Dr, Suite 101, Corvallis, OR 97330-4744 | 2006-05-17 |
| 1851756100 | Good Samaritan Hospital | Pharmacist | 3521 Nw Samaritan Dr, Suite 202, Corvallis, OR 97330-4744 | 2015-12-30 |
| 1205225836 | Morgan A Bahm | Nurse Practitioner | 3521 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-4744 | 2015-01-20 |
| 1124443320 | Dean Crowell | Physician Assistant | 3521 Nw Samaritan Dr, Ste 101, Corvallis, OR 97330-4744 | 2014-02-25 |
| 1427497569 | Good Samaritan Hospital Corvallis | Pharmacy | 3521 Nw Samaritan Dr, Ste 200, Corvallis, OR 97330-4744 | 2013-06-21 |
| 1063787851 | Good Samaritan Hospital, Corvallis | Nurse Practitioner | 3521 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-3756 | 2012-03-13 |
| 1740568609 | Kristy Lane Jessop-shankowski | Internal Medicine | 3521 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330-4744 | 2011-07-26 |
| 1538235726 | Keith E Harris | Internal Medicine | 3521 Nw Samaritan Dr, Suite 101, Corvallis, OR 97330-4744 | 2006-11-28 |
| 1528146073 | Jacque Falk Davis | Physician Assistant | 3521 Nw Samaritan Dr, Suite 101, Corvallis, OR 97330-4744 | 2006-11-01 |
| 1215015763 | Kristen Henry Reeve | Physician Assistant | 3521 Nw Samaritan Dr, Suite 101, Corvallis, OR 97330-4744 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194385674 | Joseph Lee Combee | Pharmacist | 4956 Sw Aster St, Corvallis, OR 97333-1367 | 2019-06-17 |
| 1881910412 | Mercy Chipman | Pharmacist | 3077 Se Everglade St, Corvallis, OR 97333-3111 | 2010-04-07 |
| 1588281257 | Caleigh Remington | Pharmacist | 3620 Nw Samaritan Dr Ste 203, Corvallis, OR 97330-4714 | 2020-06-29 |
| 1164064036 | Santon Mmbali Shagavah | Pharmacist | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2019-10-11 |
| 1770125775 | Joy Marie Wagner | Pharmacist | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2019-10-10 |
| 1851932339 | Joshua Michael Mellander | Pharmacist | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2019-10-04 |
| 1669013603 | Kimberly Ann Bryan | Pharmacist | 3600 Nw Samaritan Dr, Good Samaritan Hospital Inpatient Pharmacy, Corvallis, OR 97330-3737 | 2019-10-01 |
| 1003466442 | Melissa Marie Elliott | Pharmacist | 501 Nw Elks Dr Ste 100, Corvallis, OR 97330-3757 | 2019-09-18 |
| 1205344033 | Amber Tillitt | Pharmacist | 3640 Nw Samaritan Dr Ste 210, Corvallis, OR 97330 | 2018-01-15 |
| 1790206100 | Craig Ellis Brauer | Pharmacist | 3521 Nw Samaritan Dr Ste 201, Corvallis, OR 97330-4744 | 2017-07-06 |
| Find all providers in CORVALLIS | ||||
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| 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.