EVA WONG (NPI# 1548642044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548642044 |
| Entity Type | Individual |
| Full Name | EVA WONG |
| Credential | PHARMD, BCPS |
| Practice Address |
1 Freedom Way Augusta GA 30904-6258 |
| Mailing Address |
2850 Haven Ln Decatur GA 30030-5514 |
| Practice Telephone | 7067557274 |
| Mailing Telephone | 5617048151 |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2018-01-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPH029551 | GA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PS51741 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881157717 | Eva Wong | Student in an Organized Health Care Education/Training Program | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 2019-04-08 |
| 1063861169 | Eva Yee Wah Wong | Student in an Organized Health Care Education/Training Program | 4502 Medical Dr, San Antonio, TX 78229 | 2016-06-09 |
| 1568764801 | Eva Yee Ling Wong | Pharmacist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2010-11-18 |
| 1518295393 | Eva Wai-man Wong | Student in an Organized Health Care Education/Training Program | 2124 Babbitt Ct, Forest Grove, OR 97116-2955 | 2009-12-06 |
| Street Address |
1 FREEDOM WAY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-6258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900713 | Robert Leon Longe | Pharmacist | 1 Freedom Way, Augusta, GA 30904-6258 | 2005-05-24 |
| 1609476951 | Melissa Ann Cotton | Dentist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-27 |
| 1487253217 | Kelsey Shull | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-22 |
| 1437758844 | Angela Marie Brown | Social Worker | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-19 |
| 1538767819 | Stephen William Montgomery | Music Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-09 |
| 1134726631 | Rebecca Leigh Halioua | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-07 |
| 1104435718 | Vincent Michael Fitch | Psychologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-07-29 |
| 1558988162 | Amanda Draheim | Psychologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-30 |
| 1174140784 | Tiffany Ariel Graves | Student in an Organized Health Care Education/Training Program | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-30 |
| 1982221776 | Janice J Anglin | Dietitian, Registered | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| 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 |
|---|---|---|---|---|
| 1114534203 | Hyun Kim | Pharmacist | 1504 Bowdoin Dr, Augusta, GA 30909-4510 | 2020-09-23 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1760958300 | Keith Aloysius Wagner | Pharmacist | 950 15th St Rm 1c-104c, Augusta, GA 30901-2608 | 2018-10-22 |
| 1134600075 | Judah David Abernathy | Pharmacist | 2505 Windsor Spring Rd, Augusta, GA 30906-4642 | 2018-08-28 |
| 1336627785 | Tiffany M Bricker | Pharmacist | 165 Capitol St, Augusta, ME 04330-6232 | 2018-07-29 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1407372444 | Kali Lauren Taylor | Pharmacist | 509 State Street, Augusta, KS 67010 | 2017-08-22 |
| 1851829345 | Christopher Hearon | Pharmacist | 2803 Wrightsboro Rd Ste 17, Augusta, GA 30909-3917 | 2017-05-26 |
| 1669914032 | Brandon Michael Williams | Pharmacist | 2206 Brechin Ln, Augusta, GA 30909-6910 | 2016-11-16 |
| 1073068755 | Seoyeon Lee | Pharmacist | 536 Walden Hills Ct, Augusta, GA 30909-0225 | 2016-08-23 |
| Find all providers in AUGUSTA | ||||
Please comment or provide details below to improve the information on EVA 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.