KEVIN WONG (NPI# 1275881237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275881237 |
| Entity Type | Individual |
| Full Name | KEVIN WONG |
| Practice Address |
2089 Pheasant Dr Hercules CA 94547-1627 |
| Mailing Address |
999 Lake Dr Issaquah WA 98027-8990 |
| Practice Telephone | 5107992288 |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2015-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 67355 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508354960 | Kevin Wong | Pharmacist | 9247 Matthews Ave Ne, Seattle, WA 98115-3942 | 2018-05-01 |
| 1164944559 | Kevin Wong | Specialist | 14 Rini Road, Glen Head, NY 11545 | 2017-07-07 |
| 1457693038 | Kevin Wong | Pain Medicine | 151 S Sunrise Way Ste 100, Palm Springs, CA 92262-0129 | 2013-03-21 |
| 1821129438 | Kevin Y.s. Wong | Dentist | 431 S Ham Ln, Ste D, Lodi, CA 95242-3524 | 2007-03-07 |
| 1912927112 | Kevin Wong | Chiropractor | 89 Moraga Way, Suite A, Orinda, CA 94563-3023 | 2006-07-20 |
| 1750915757 | Kevin Guanwei Wong | Pharmacist | 1150 Harter Pkwy, Yuba City, CA 95993-2642 | 2020-02-27 |
| 1962051110 | Kevin Wing Wong | Pharmacist | 4025 Delridge Way Sw Ste 400, Seattle, WA 98106-1273 | 2019-09-10 |
| 1255980819 | Kevin Wong | Behavior Technician | 44 Gough St Ste 210, San Francisco, CA 94103-5424 | 2019-09-06 |
| 1952958811 | Kevin Wong | Pharmacy | 3055 W Florida Ave, Hemet, CA 92545-3617 | 2019-08-24 |
| 1205331238 | Kevin Wong | Student in an Organized Health Care Education/Training Program | One Gustave L Levy Pl, New York, NY 10029 | 2018-03-30 |
| Street Address |
2089 PHEASANT DR |
| City | HERCULES |
| State | CA |
| Zip Code | 94547-1627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768286 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4080 San Pablo Ave, Hercules, CA 94547 | 2020-01-06 |
| 1407415144 | Julita Chinyere Agwumezie | Pharmacist | 1590 Sycamore Avenue, Hercules, CA 94547 | 2019-06-06 |
| 1730545666 | Evelyn Gomez | Behavioral Analyst | 115 Starling Way, Hercules, CA 94547 | 2016-01-07 |
| 1730572264 | Laith Anwar Yacoub | Pharmacist | 530 Silver Maple Dr., Hercules, CA 94547 | 2015-03-09 |
| 1396171526 | Yeun Joo Kim | Dentist | 9 Arete Court, Hercules, CA 94547 | 2013-09-19 |
| 1568751527 | Sophie Chen | Dentist | 500 Alfred Nobel Drive, Suite 130, Hercules, CA 94547 | 2011-03-30 |
| 1962654517 | Jason M. Hataye | Student in an Organized Health Care Education/Training Program | 572 Turquoise Drive, Hercules, CA 94547 | 2008-10-15 |
| 1649454802 | Lovely C. Manlapaz | Dentist | 844 Willow Avenue, Suite - A6, Hercules, CA 94547 | 2007-12-24 |
| 1386823805 | Vincent T Chen | Dentist | 500 Alfred Nobel Dr., Ste. 280, Hercules, CA 94547 | 2007-11-01 |
| 1902950132 | Leonard Alexander Newman | Ophthalmology | 500 Alfred Noble Dr, Ste 225, Hercules, CA 94547 | 2007-01-23 |
| Find all providers in zip 94547 | ||||
| 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 |
|---|---|---|---|---|
| 1407415144 | Julita Chinyere Agwumezie | Pharmacist | 1590 Sycamore Avenue, Hercules, CA 94547 | 2019-06-06 |
| 1891245783 | Bohan Gu | Pharmacist | 1375 Sycamore Ave, Apartment 316, Hercules, CA 94547-5509 | 2016-10-04 |
| 1730572264 | Laith Anwar Yacoub | Pharmacist | 530 Silver Maple Dr., Hercules, CA 94547 | 2015-03-09 |
| 1386926087 | Evelyn Martinez Sanchez | Pharmacist | 1045 White Birch Dr, Hercules, CA 94547-2670 | 2011-09-19 |
| 1326320979 | Nuha Alhaik | Pharmacist | 530 Silver Maple Dr, Hercules, CA 94547-2310 | 2011-09-09 |
| 1306167465 | Bunny Lee | Pharmacist | 1560 Sycamore Ave, Hercules, CA 94547-1701 | 2010-06-11 |
| 1174606594 | Gilad Dekel | Pharmacist | 151 Eucalyptus Knl, Hercules, CA 94547-2666 | 2006-10-21 |
| 1740799436 | Johnathan Nilsen | Pharmacist | 1560 Sycamore Ave, Hercules, CA 94547-1701 | 2017-09-25 |
| 1467795781 | Erik Chandra Tjoe | Pharmacist | 1560 Sycamore Ave, Hercules, CA 94547-1701 | 2013-04-04 |
| 1083935720 | Weyman Chun | Pharmacist | 1560 Sycamore Ave, Hercules, CA 94547-1701 | 2010-06-17 |
| Find all providers in HERCULES | ||||
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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.