DOUGLAS WONG (NPI# 1194130062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194130062 |
| Entity Type | Individual |
| Full Name | DOUGLAS WONG |
| Practice Address |
700 E Kennedy Rd North Wales PA 19454-5612 |
| Practice Telephone | 2156280867 |
| Practice Fax Number | 8454831649 |
| Mailing Telephone | 2156280867 |
| Mailing Fax Number | 8454831649 |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2017-03-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 06823 | NV | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | PH18267 | MA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | RP043566R | PA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 30301 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700493772 | Douglas Wong | Massage Therapist | 2060 S La Merced Way, Palm Springs, CA 92264-9032 | 2020-09-24 |
| 1194134056 | Douglas K. C. Wong | Dentist | 7033 Village Pkwy, Suite 202, Dublin, CA 94568-2453 | 2014-08-05 |
| 1699778399 | Douglas S Wong | Specialist | 7130 N Millbrook Ave, Fresno, CA 93720-3347 | 2005-05-27 |
| 1386024867 | Douglas Wong | Pharmacist | 9831 Campo Rd, Spring Valley, CA 91977-1418 | 2015-06-01 |
| 1477897684 | Douglas Ebin Wong | Physician Assistant | 41715 Winchester Rd, Suite 101, Temecula, CA 92590-4808 | 2012-11-15 |
| 1104889591 | Douglas C Wong | Orthopaedic Surgery | 660 Golden Ridge Rd, Suite 250, Golden, CO 80401-9541 | 2006-04-08 |
| 1174590160 | Douglas L Wong | Anesthesiology | 3633 Pacific Ave, Suite 204, Tacoma, WA 98418-7900 | 2006-03-08 |
| Street Address |
700 E KENNEDY RD |
| City | NORTH WALES |
| State | PA |
| Zip Code | 19454-5612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295258960 | Stephanie Dalzon | Contractor | 700 Lower State Rd Apt Th20, North Wales, PA 19454 | 2017-07-24 |
| 1457723611 | Stacey Kirchein | Dietitian, Registered | 700 Lower State Rd, Apt 18a1, North Wales, PA 19454 | 2015-10-28 |
| 1902289713 | Nani Rivera-cox | Marriage & Family Therapist | 217 Church Road, North Wales, PA 19454 | 2015-06-30 |
| 1104254812 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 167 Montgomery Mall, North Wales, PA 19454 | 2013-10-16 |
| 1023367323 | Wholistics / Wholistic Fitness LLC | Psychologist | 217 Church Rd Suite B, North Wales, PA 19454 | 2012-08-31 |
| 1396075925 | Mary M Oconnor | Occupational Therapist | 102 West Walnut St., North Wales Hand Rehabilitation, North Wales, PA 19454 | 2010-01-04 |
| 1104155050 | Laurie F Langbein | Counselor | 101 Chamberlain Cir, North Wales, PA 19454 | 2009-12-23 |
| 1235397225 | Jennifer Gail Duncan | Dentist | 298 Wissahickon Avenue, Suite 3, North Wales, PA 19454 | 2008-05-28 |
| 1811101967 | Angel Wahib Elbardissi | Dentist | 210 Stump Rd, North Wales, PA 19454 | 2007-05-09 |
| 1336361963 | Arlene M. Lavner | Counselor | 1233 Laura Lane, North Wales, PA 19454 | 2007-05-03 |
| Find all providers in zip 19454 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215547401 | Ravi Prakash Reddy Nanga | Pharmacist | 131 Church Rd Apt 9g, North Wales, PA 19454-4124 | 2020-08-03 |
| 1992332787 | Joseph Luca | Pharmacist | 109 Tennyson Ln, North Wales, PA 19454-1641 | 2020-03-24 |
| 1306391578 | Naitik Kumar Patel | Pharmacist | 407 Susan Cir, North Wales, PA 19454-1416 | 2016-08-17 |
| 1649621210 | Arun Vankawala | Pharmacist | 204 Steeplechase Dr, North Wales, PA 19454-4233 | 2016-06-24 |
| 1366801219 | Usman Ahmed Mirza | Pharmacist | 116 Gwynedd Lea Dr, North Wales, PA 19454-1921 | 2016-02-21 |
| 1295137891 | Dana Marie Teeling | Pharmacist | 1325 Katie Ln, North Wales, PA 19454-1336 | 2014-09-25 |
| 1639448426 | Maya Angela Tatum | Pharmacist | 701 N Wales Rd, North Wales, PA 19454-2754 | 2011-12-22 |
| 1811265655 | Dale Ann Chiodo | Pharmacist | 101 Chestnut Ln, North Wales, PA 19454-1312 | 2011-12-08 |
| 1306113097 | Craig Evan Lehrman | Pharmacist | 101 Channelhouse Rd, North Wales, PA 19454-1243 | 2011-11-22 |
| 1043590284 | Laura Haber | Pharmacist | 1201 Knapp Rd, North Wales, PA 19454-1831 | 2011-08-19 |
| Find all providers in NORTH WALES | ||||
| City | NORTH WALES |
| Zip Code | 19454 |
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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.