STEPHEN SHING WONG (NPI# 1194804864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194804864 |
| Entity Type | Organization |
| Organization Name | STEPHEN SHING WONG |
| Other Organization Name | MASON PHARMACY |
| Practice Address |
4600 47th Ave Ste 110 Sacramento CA 95824-3923 |
| Practice Telephone | 9164287500 |
| Practice Fax Number | 9164210506 |
| Mailing Telephone | 9164287500 |
| Mailing Fax Number | 9164210506 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2014-07-25 |
| Authorized Official Name | STEPHEN WONG (OWNER PHCST) |
| Authorized Official Telephone | 9164287500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY40590 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2082997 | 01 | |
| CA | PHA405900 | 05 |
| Other Name | Type Code |
|---|---|
| MASON PHARMACY | Doing Business As Name - Organization |
| Street Address |
4600 47TH AVE STE 110 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95824-3923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184732968 | Kathleen M Buckley | Registered Nurse | 4600 47th Ave, Ste 101, Sacramento, CA 95824-3923 | 2006-08-29 |
| 1619468485 | Jasmine Nicole Murrey-harris | Case Manager/Care Coordinator | 4600 47th Ave, Sacramento, CA 95824-3923 | 2018-05-28 |
| 1467720177 | Omar Esquivel | Social Worker | 4600 47th Ave, Suite 111, Sacramento, CA 95824-3923 | 2011-12-08 |
| 1831420009 | Karen Rene Skelton | Registered Nurse | 4600 47th Ave, Suite # 106, Sacramento, CA 95824-3923 | 2010-01-27 |
| 1417281445 | Eric L Brown | Counselor | 4600 47th Ave, 111, Sacramento, CA 95824-3923 | 2009-09-23 |
| 1518290568 | Wade Alan Wilson | Counselor | 4600 47th Ave, Sacramento, CA 95824-3923 | 2009-09-09 |
| 1518106194 | Ivonne Cruz | Counselor | 4600 47th Ave, Sacramento, CA 95824-3923 | 2009-02-05 |
| 1265678023 | James Glover | Counselor | 4600 47th Ave, Sacramento, CA 95824-3923 | 2008-12-29 |
| 1497991640 | Derek Adam Higgs | Counselor | 4600 47th Ave, Sacramento, CA 95824-3923 | 2008-12-17 |
| 1285889063 | Barbara Ann Ring-miller | Registered Nurse | 4600 47th Ave, 106, Sacramento, CA 95824-3923 | 2008-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841701422 | Nhlanhla Moyo | Registered Nurse | 3301 37th Street, Sacramento, CA 95824 | 2017-10-23 |
| 1275069650 | Tacoquya Brumfield | Behavior Technician | 5100 South West Ave Apt D, Sacramento, CA 95824 | 2017-05-04 |
| 1639485758 | Louis Alexander Rosales | Physician Assistant | 5385 Frnaklin Blvd, Ste K, Sacramento, CA 95824 | 2010-08-26 |
| 1215182878 | Nancie A. Kenton | Psychologist | 5735 47th Ave., Sacramento, CA 95824 | 2008-11-24 |
| 1447400049 | Jasmine Hernandez | Counselor | 4600 46th Ave., Sacramento, CA 95824 | 2008-09-19 |
| 1023152592 | Michelle Monic Villavicencio | Case Manager/Care Coordinator | 4500 47th Avenue, Suite 5, Sacramento, CA 95824 | 2007-02-17 |
| 1457362584 | Myron Robert Powell | Dentist | 4500 47th Ave, Ste 1, Sacramento, CA 95824 | 2006-08-11 |
| 1629481205 | Ignacio Fernandez | Counselor | 4600 47th Ave Ste 102, Sacramento, CA 95824 | 2014-06-11 |
| 1386772473 | Janice Sheree Hunter | Marriage & Family Therapist | 4600 47th Ave Ste 111, Sacramento, CA 95824 | 2007-03-01 |
| 1689718181 | Beatrice Taylor | Counselor | 4730 47th Ave Ste 300, Sacramento, CA 95824 | 2007-02-16 |
| Find all providers in zip 95824 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517535 | Natomas Pharmacy, Inc. | Pharmacy | 4321 Truxel Rd Ste F1, Sacramento, CA 95834-3753 | 2020-04-22 |
| 1124647011 | Innova Pharmacy II | Pharmacy | 3701 J St Ste 101, Sacramento, CA 95816-5542 | 2020-04-11 |
| 1225667181 | Raley's | Pharmacy | 4690 Freeport Blvd, Sacramento, CA 95822 | 2020-04-03 |
| 1740820133 | Innova Pharmacy IIi | Pharmacy | 2400 Glendale Ln Ste A, Sacramento, CA 95825-2431 | 2020-01-14 |
| 1154962967 | Pillbox, Inc. | Pharmacy | 3941 J St Ste 130, Sacramento, CA 95819-3628 | 2019-10-02 |
| 1942869656 | Hoang Pharmacy Inc. | Pharmacy | 8701 Center Pkwy Ste 150, Sacramento, CA 95823-7920 | 2019-06-07 |
| 1104380252 | Ahcs Specialty Care LLC | Pharmacy | 1820 Tribute Rd Ste G, Sacramento, CA 95815-4307 | 2019-01-23 |
| 1689125403 | Xpress Care Pharmacy | Pharmacy | 4241 Florin Rd Ste 50a, Sacramento, CA 95823-2535 | 2016-10-17 |
| 1275987885 | Good Heart Pharmacists | Pharmacy | 1740 Fruitridge Rd # 104, Sacramento, CA 95822-3067 | 2016-04-20 |
| 1619273687 | Capitol Pharmacy Inc | Pharmacy | 4220 Florin Rd # 111, Sacramento, CA 95823-2508 | 2011-02-08 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95824 |
Please comment or provide details below to improve the information on STEPHEN SHING WONG.
| 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.