MS. DEBRA K WONG (NPI# 1497816920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497816920 |
| Entity Type | Individual |
| Full Name | MS. DEBRA K WONG |
| Credential | RPH |
| Practice Address |
27300 Wixom Rd Novi MI 48374 |
| Practice Telephone | 2483496043 |
| Mailing Telephone | 2483496043 |
| Mailing Fax Number | 2483496121 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5315027658 | MI | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2368404 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487171286 | Debra Lwin Wong | Community Health Worker | 425 Divisadero Street, Suite 300, San Francisco, CA 94117 | 2017-08-23 |
| 1215166335 | Debra A Wong | Internal Medicine | 625 N 6th St, Phoenix, AZ 85004 | 2009-07-10 |
| 1720074909 | Debra Gail Wong | Nurse Practitioner | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2005-09-23 |
| Street Address |
27300 WIXOM RD |
| City | NOVI |
| State | MI |
| Zip Code | 48374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568489052 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 27300 Wixom Rd, Novi, MI 48374-1120 | 2006-07-17 |
| 1275611758 | Judith Denise Wilson | Optometrist | 27300 Wixom Rd, Novi, MI 48374-1120 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902323884 | Jhansi Navuluri | Physical Therapist | 27579 Etrada Lane, Novi, MI 48374 | 2017-08-23 |
| 1609306422 | James Vanderhaeghen | Foster Care Agency | 24375 Homestead Ct, Novi, MI 48374 | 2017-06-14 |
| 1558810622 | Iryna Chaykivska | Nurse Anesthetist, Certified Registered | 47601 Grand River Avenue, Novi, MI 48374 | 2016-09-29 |
| 1477937944 | Joseph Smola | Chiropractor | 48000 Grand River Ave, Novi, MI 48374 | 2015-07-15 |
| 1881005114 | Alpha Medical Services PC | Internal Medicine | 26131, Sunbury Ct, Novi, MI 48374 | 2014-05-08 |
| 1043565443 | Jason J Rizqallah | Surgery | 47601 Grand River Ave # B136, Novi, MI 48374 | 2012-07-21 |
| 1780992628 | Khyati Patel | Internal Medicine | 26850 Providence Pkwy Ste 420, Novi, MI 48374 | 2010-09-14 |
| 1891963799 | Luann Marie Redmond | Social Worker | 50598 Montana, Novi, MI 48374 | 2008-02-13 |
| 1427249424 | Ajay V Raman | Anesthesiology | 24875 Novi Road #454, Novi, MI 48374 | 2007-08-05 |
| 1003948233 | Sam's Club Optical | Technician/Technologist | 27300 Wixon Road, Novi, MI 48374 | 2007-03-12 |
| Find all providers in zip 48374 | ||||
| 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 |
|---|---|---|---|---|
| 1871194217 | Rajesh Koduru | Pharmacist | 27496 Pamplona Ln, Novi, MI 48374-4208 | 2020-11-03 |
| 1457982514 | Noel Robin Duer | Pharmacist | 39625 Lewis Dr Ste 800, Novi, MI 48377-2962 | 2020-01-28 |
| 1790322550 | Samantha Le | Pharmacist | 41266 Scarborough Ln, Novi, MI 48375-2892 | 2019-11-28 |
| 1568005668 | Osamah Alkoshab | Pharmacist | 39575 W 10 Mile Rd Ste 203, Novi, MI 48375-2949 | 2019-10-21 |
| 1588172647 | Ali Hassan Jalloul | Pharmacist | 42481 W 13 Mile Rd, Novi, MI 48377-2009 | 2018-01-11 |
| 1790184992 | Amanda Merino | Pharmacist | 26699 Empire Dr, Novi, MI 48374-1826 | 2014-08-14 |
| 1063844397 | Yin Hing Klisowski | Pharmacist | 25019 Samoset Ct, Novi, MI 48374-2165 | 2013-08-09 |
| 1881979060 | Khaled Sedki | Pharmacist | 24150 Novi Rd, Novi, MI 48375 | 2011-10-19 |
| 1710268552 | Hala J Bazzi-lang | Pharmacist | 46325 W 12 Mile Rd Ste 150, Novi, MI 48377-2458 | 2011-09-07 |
| 1982985370 | Richard Anthony Tata | Pharmacist | 46181 Crestview Dr, Novi, MI 48374-2990 | 2011-08-30 |
| Find all providers in NOVI | ||||
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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.