Lesley Siou Mun Wong, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH61078590 Issued in WA

Practice address

12318 15TH Ave NE
Seattle, WA 98125-4820

Phone

(206) 306-0508

NPI assigned

Aug 4, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Safeway Inc

  • Community/Retail Pharmacy
  • Seattle, WA
  • NPI 1295771822
  NPD (past)
• Safeway Inc

  • Community/Retail Pharmacy
  • Queen Creek, AZ
  • NPI 1730040973
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1013527100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12318 15TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254820",
            "telephone_number": "206-306-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12318 15TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254820",
            "telephone_number": "206-306-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "LESLEY",
        "middle_name": "SIOU MUN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH61078590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylyn Kit Man Wong, MD
• Keith B Wong, DDS, MS
• Kellene Jane Wong
• Keri Anne Jun Lan Wong, DDS
• Kevin Wong, PHARM.D.
• Luchin Fay Wong, MD
• Lye Ching Wong
• Mamie Wong, O.D.
• Man Hei Wong
• Matthew Wong, MD

• Pharmacist in Seattle, WA
• Providers in Seattle, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.