KENNETH WONG (NPI# 1427154715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427154715 |
| Entity Type | Individual |
| Full Name | KENNETH WONG |
| Credential | PHARM.D. |
| Practice Address |
11201 Benton St. (119) Loma Linda CA 92357 |
| Mailing Address |
466 Sonora Circle Redlands CA 92373 |
| Practice Telephone | 9098257084 |
| Practice Fax Number | 9097773263 |
| Mailing Telephone | 9097980300 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 48265 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992153977 | Kenneth Wong | Physician Assistant | 622 W 168th St # Vc-260, New York, NY 10032-3720 | 2016-05-31 |
| 1669826285 | Kenneth Richard Wong | Emergency Medicine | 525 East 68th Street, Mailbox 301, Ny Presbyterian Cornell- Emergency Medicine Residency, New York City, NY 10021 | 2016-04-20 |
| 1497988232 | Kenneth D Wong | Dentist | 13197 Central Ave Ste 103, Chino, CA 91710-4178 | 2009-08-27 |
| 1073775433 | Kenneth Wong | Otolaryngology | 6201 Greenbelt Rd Ste M11, Berwyn Heights, MD 20740-2333 | 2008-06-26 |
| 1033391925 | Kenneth L Wong | Pharmacist | 221 Westwood Plaza Room 222, Los Angeles, CA 90095-0001 | 2007-12-03 |
| 1104995307 | Kenneth C K Wong | Dentist | 6514 Lonetree Blvd, Rocklin, CA 95765 | 2006-11-06 |
| 1235198854 | Kenneth Kang Wa Wong | Optometrist | 27118 Gratiot Ave, Roseville, MI 48066-2915 | 2006-03-22 |
| 1417949652 | Kenneth Wong | Family Medicine | 2444 Pine St, Bakersfield, CA 93301-2742 | 2005-08-15 |
| 1215935986 | Kenneth Edward Wong | Internal Medicine | 102 Twin Oaks Dr, Raceland, LA 70394-2760 | 2005-07-07 |
| 1033680285 | Kenneth Wong | Pharmacist | 3160 N Rainbow Blvd, Las Vegas, NV 89108-4533 | 2018-12-16 |
| Street Address |
11201 BENTON ST. (119) |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679916027 | Nicole Kristine Shah-ghassemzadeh | Internal Medicine | Jerry L. Pettis Memorial Veterans Hospital - Gastroente, 11201 Benton Street, Loma Linda, CA 92357 | 2013-04-16 |
| 1760628598 | Taranjit Natt | Internal Medicine | 11201 Benton St # 111-om, Loma Linda, CA 92357 | 2008-12-29 |
| 1548355076 | Annette A Boyd -hampton | Nurse Practitioner | 11201 Benton St. -111g, Loma Linda, CA 92357 | 2006-10-03 |
| 1396830766 | Maudie Cantrell Foy | Nurse Practitioner | 11201 Benton St. (11cp), Loma Linda, CA 92357 | 2006-10-03 |
| 1801909577 | Paul Lindberg | Orthotist | 11201 Benton St./121, Loma Linda, CA 92357 | 2006-08-16 |
| 1992728703 | Harry Chen | Pharmacist | 11201 Benton Street, Va Loma Linda Healthcare System (119), Loma Linda, CA 92357 | 2006-07-25 |
| 1699222661 | Nathanial Benjaman Hawkins | Psychologist | 11201 Benton Street, Bhost 116a, Loma Linda, CA 92357 | 2016-09-07 |
| 1699129692 | Victor Francis Tamagna Hogen | Internal Medicine | 11201 Benton St, Loma Linda, CA 92357 | 2016-04-16 |
| 1063877959 | Irene Thung | Pathology | 11201 Benton Street, Dept. of Pathology (113), Loma Linda, CA 92357 | 2015-12-21 |
| 1033553375 | Brian Chau | Physical Medicine & Rehabilitation | 11201 Benton Street, Department of Pm&r (mail Code 117), Loma Linda, CA 92357 | 2013-04-17 |
| Find all providers in zip 92357 | ||||
| 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 |
|---|---|---|---|---|
| 1477179885 | Gerald Rai Jr. | Pharmacist | 26140 Windsor Dr, Loma Linda, CA 92354-4100 | 2020-06-22 |
| 1982228029 | Jennifer Vu | Pharmacist | 25455 Barton Rd Ste 111a, Loma Linda, CA 92354-3129 | 2020-06-04 |
| 1578186623 | Ruth Melany Perez Martinez | Pharmacist | 11588 Lawton Ct, Loma Linda, CA 92354-3326 | 2020-05-24 |
| 1285298745 | Ga Ae Hong Kim | Pharmacist | 11467 Via Capri, Loma Linda, CA 92354-3853 | 2019-04-30 |
| 1265937494 | Lee Huu Nguyen | Pharmacist | 24754 Steward Street Shryock Hall School of Pharmacy, Loma Linda, CA 92350-0001 | 2018-03-28 |
| 1619323540 | Yi Tung | Pharmacist | 26078 Via Oro, Loma Linda, CA 92354-3837 | 2016-05-10 |
| 1437522695 | Candice P E Chiaramonte | Pharmacist | 24745 Stewart Street Shryock Hl Rm 234, Loma Linda, CA 92350-0001 | 2015-11-09 |
| 1770952418 | Lisa Tran Hoang My Pham | Pharmacist | 11234 Anderson St Lbby Level, Loma Linda, CA 92354-2804 | 2015-09-23 |
| 1215321070 | Kyung Hyun Park | Pharmacist | Loma Linda University School of Pharmacy, Shryock Hall, Loma Linda, CA 92350-0001 | 2015-03-19 |
| 1932502655 | Jennifer Pak | Pharmacist | 25587 Prospect Ave, Loma Linda, CA 92354-3167 | 2014-10-08 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92357 |
Please comment or provide details below to improve the information on KENNETH 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.