ANDY WONG (NPI# 1578014304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578014304 |
| Entity Type | Individual |
| Full Name | ANDY WONG |
| Practice Address |
2001 Dwight Way Ste 2182 Berkeley CA 94704-2608 |
| Mailing Address |
Po Box 16525 San Francisco CA 94116-0525 |
| Practice Telephone | 5102046550 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2020-09-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 74991 | CA | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3100 Summit St Ste 2147, Oakland, CA 946093412 | 5108698451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477913176 | Andy Wong | Dentist | 16736 Fern Leaf St, Chino Hills, CA 91709-7444 | 2016-02-24 |
| 1841660628 | Andy Wong | Pharmacist | 720 8th Ave S, Seattle, WA 98104-3032 | 2015-10-06 |
| 1316331226 | Andy Wong | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2015-03-28 |
| 1871765305 | Andy Wai Ming Wong | Emergency Medicine | 1509 Wilson Ter, Emergency Department, Glendale, CA 91206-4007 | 2008-03-25 |
| 1730393687 | Andy Ying Wong | Dentist | 100 Ucla Medical Plz, Suite 350, Los Angeles, CA 90095-0001 | 2007-05-10 |
| Street Address |
2001 DWIGHT WAY STE 2182 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94704-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326554239 | Sutter Bay Hospitals | Pharmacy | 2001 Dwight Way Ste 2182, Berkeley, CA 94704-2608 | 2017-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
| 1821617168 | Michelle Nagal Hunt | Behavior Technician | 2080 Addison Street, #302, Berkeley, CA 94704 | 2020-04-15 |
| 1366097081 | Sabrina Barnett | Behavior Technician | 2080 Addison St, #302, Berkeley, CA 94704 | 2019-08-08 |
| 1811559735 | Bonita House, Inc. | Community/Behavioral Health | 1909 University Ave, Berkeley, CA 94704 | 2019-07-01 |
| 1376014928 | Justin T Cooke | Specialist/Technologist | 2024 Durant Ave #508, Berkeley, CA 94704 | 2018-12-07 |
| 1972080158 | Cecilia Winfield | Student in an Organized Health Care Education/Training Program | 1918 University Ave., Suite 2b, Berkeley, CA 94704 | 2018-07-20 |
| 1952897332 | Jennifer Henry Henry | Naturopath | 2041 Bancroft Way #303, 2041 Bancroft Way, Berkeley, CA 94704 | 2018-07-09 |
| 1497267967 | Merlenet Michelle Riley | Counselor | 2640 Martin Luther King, Berkeley, CA 94704 | 2017-10-24 |
| 1265951719 | Caitlin Mary Mcdonough | Student in an Organized Health Care Education/Training Program | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-09-15 |
| 1922525120 | Patrice Werling | Counselor | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-08-28 |
| Find all providers in zip 94704 | ||||
| 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 |
|---|---|---|---|---|
| 1144868647 | Komalpreet Kaur | Pharmacist | 1444 Shattuck Place, Berkeley, CA 94709 | 2019-12-16 |
| 1861043424 | Cayla Christine Slaughter | Pharmacist | 4441 Brown Rd, Berkeley, MO 63134-3405 | 2019-09-25 |
| 1790293389 | Nga Thien Ho | Pharmacist | 1500 Gilman St, Berkeley, CA 94710 | 2018-01-17 |
| 1437668464 | Raven Forrest | Pharmacist | 8640 Evans Ave, Berkeley, MO 63134-2903 | 2017-09-21 |
| 1578084067 | Kwun Lum | Pharmacist | 2222 Bancroft Way Ste 1115, Berkeley, CA 94720-4301 | 2017-07-05 |
| 1750742011 | Prashant Patel | Pharmacist | 2915 Telegraph Ave # 100, Berkeley, CA 94705-2060 | 2016-03-15 |
| 1720487077 | Robin Jung | Pharmacist | 2818 Telegraph Ave, #22, Berkeley, CA 94705-1152 | 2014-08-21 |
| 1417361692 | Leslie Carstensen Floren | Pharmacist | 889 Santa Barbara Rd, Berkeley, CA 94707-2017 | 2014-06-16 |
| 1104197664 | Nadia C Hughes | Pharmacist | 1228 N Irving Ave, Berkeley, IL 60163-1130 | 2012-01-14 |
| 1275814931 | Terry Y Moy | Pharmacist | 2187 Shattuck Ave, Berkeley, CA 94704-1308 | 2011-09-07 |
| Find all providers in BERKELEY | ||||
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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.