Individual provider Active NPI

Ferrari Chun Yu Wong

  • Pharmacist
  • Richmond, TX
National Provider Identifier
1043767759
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
59433 Issued in TX
Practice address
10420 FM 1464 Rd
Richmond, TX 77407-2044
Phone
(281) 240-0123
NPI assigned
Sep 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 59433 TX Primary

Addresses

Primary practice location

10420 FM 1464 Rd
Richmond, TX 77407-2044

Mailing address

5322 Braesheather Dr
Houston, TX 77096-4110
Phone (832) 455-6940

Other practice location 1

1607 S Post Oak Ln
Houston, TX 77056-2807
Phone (713) 621-0621

Other identifiers 1

IdentifierTypeStateIssuer
59433OtherTXTEXAS STATE BOARD OF PHARMACY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
59433TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Pharmacy Inc Past Accepting new patients
CVS Pharmacy Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1473465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1043767759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5322 BRAESHEATHER DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964110",
            "telephone_number": "832-455-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10420 FM 1464 RD",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072044",
            "telephone_number": "281-240-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1607 S Post Oak Ln",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770562807",
            "country_code": "US",
            "telephone_number": "713-621-0621",
            "fax_number": "713-621-9621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "FERRARI",
        "middle_name": "CHUN YU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-10",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "59433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY",
            "identifier": "59433",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.