AMANDA WONG (NPI# 1487295226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487295226 |
| Entity Type | Individual |
| Full Name | AMANDA WONG |
| Credential | PHARMD |
| Practice Address |
1736 N Greenville Ave Richardson TX 75081-1808 |
| Mailing Address |
629 Saint George Richardson TX 75081-5136 |
| Practice Telephone | 8885010233 |
| Mailing Telephone | 4692318563 |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 79603 | CA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 63569 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609327097 | Amanda Wong | Pharmacist | 2068 Perkins St, Fullerton, CA 92833-5071 | 2016-10-20 |
| 1699142554 | Amanda Wong | Physical Therapist | 1320 Indianwood Dr, Brookfield, WI 53005-5511 | 2015-08-26 |
| 1821288515 | Amanda Michelle Wong | Speech-Language Pathologist | 7330 Biscayne Way Se, Grand Rapids, MI 49546-9705 | 2007-07-28 |
| 1770100679 | Amanda Oi-yun Wong | Pathology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-06-26 |
| 1497307763 | Amanda Wong | Student in an Organized Health Care Education/Training Program | 18600 Wedge Pkwy, Reno, NV 89511-3036 | 2019-07-16 |
| 1487153631 | Amanda Wong | Behavior Technician | 3610 Snell Ave, San Jose, CA 95136-1305 | 2018-02-02 |
| 1134590508 | Amanda M L Wong | Nurse Practitioner | 550 S Beretania St Ste 601, Honolulu, HI 96813-2423 | 2015-10-12 |
| 1619271640 | Amanda M Wong | Social Worker | 125 Walker St, 2 Nd Floor, New York, NY 10013-4135 | 2011-01-05 |
| Street Address |
1736 N GREENVILLE AVE |
| City | RICHARDSON |
| State | TX |
| Zip Code | 75081-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396144531 | North American Custom Laboratories LLC | Pharmacy | 1736 N Greenville Ave, Richardson, TX 75081-1808 | 2014-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305619 | Kasaundra Deleon | Pharmacy | 802 E Us Hwy, Richardson, TX 75081 | 2020-10-30 |
| 1265076806 | Stateserv Medical of Texas | Durable Medical Equipment & Medical Supplies | 1207 N. Glenview Drive, Richardson, TX 75081 | 2019-11-06 |
| 1831732890 | Cielo Camille Lopez | Registered Nurse | 908 Audelia Rd St. 200-pmb 170, Richardon, TX 75081 | 2019-10-23 |
| 1154963007 | Alex Robert Langford | Technician, Other | 1901 N. Glenville Dr., Suite 501, Richardson, TX 75081 | 2019-10-11 |
| 1427530849 | Ladasha Danelle Gregory | Occupational Therapy Assistant | 744 Brick Row Dr Apt 2226, Richardson, TX 75081 | 2018-09-01 |
| 1013403427 | Camp Medical Management, LLC | Social Worker | 208 W. Spring Valley Rd, Richardson, TX 75081 | 2018-07-09 |
| 1710486238 | Sara Nourani-dargiri | Optometrist | 1332 S. Plano Rd Ste 112, Richardson, TX 75081 | 2018-02-10 |
| 1174044895 | Rebecka Kay Haats | Dentist | 644 Brick Row Dr. Apt 3211, Richardson, TX 75081 | 2017-07-03 |
| 1225418635 | Elizabeth Bands | Pharmacist | 930 East Campbell, Suite 200, Richardson, TX 75081 | 2015-06-02 |
| 1518344597 | Relationship Resolve | Public Health or Welfare | 800 Security Row, Suite 2, Richardson, TX 75081 | 2015-04-29 |
| Find all providers in zip 75081 | ||||
| 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 |
|---|---|---|---|---|
| 1992317226 | Zichang Liu | Pharmacist | 3521 Wilshire Way Apt 3121, Richardson, TX 75082-0078 | 2020-08-18 |
| 1689299273 | Wade Walters | Pharmacist | 1907 Chestnut Hill Ln, Richardson, TX 75082-4815 | 2020-06-10 |
| 1306303664 | Shannon Marie Cherry | Pharmacist | 1300 E Campbell Rd # 97281, Richardson, TX 75081-1937 | 2019-02-22 |
| 1356791248 | Diane Carol Damrau | Pharmacist | 1300 E Arapaho Rd Ste 101, Richardson, TX 75081-2469 | 2016-06-21 |
| 1457734865 | Isaac Bogonko | Pharmacist | 1260 W Spring Valley Rd Ste B, Richardson, TX 75080-6720 | 2015-07-02 |
| 1851772446 | David House | Pharmacist | 2165 Buckingham Rd, Richardson, TX 75081-5477 | 2015-06-09 |
| 1164802005 | Kathryn Farley Martin | Pharmacist | 3313 Essex Dr, Suite 200, Richardson, TX 75082 | 2015-06-05 |
| 1225418635 | Elizabeth Bands | Pharmacist | 930 East Campbell, Suite 200, Richardson, TX 75081 | 2015-06-02 |
| 1881010395 | Austin Sterling Keyser | Pharmacist | 1300 E Arapaho Rd Ste 210, Richardson, TX 75081-2445 | 2014-03-07 |
| 1255683413 | Samson Bahta | Pharmacist | 189 N Plano Rd Ste 120, Richardson, TX 75081-8000 | 2012-10-11 |
| Find all providers in RICHARDSON | ||||
| City | RICHARDSON |
| Zip Code | 75081 |
Please comment or provide details below to improve the information on AMANDA 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.