Active NPI
Greg H Wong, R.PH
- Pharmacist
- Vancouver, WA
National Provider Identifier
1053750471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH22234
- Practice address
- 501 SE 172ND Aveune
Vancouver, WA 98684-9542 - Phone
- (360) 397-3602
- Fax
- (360) 604-1791
- NPI assigned
- Jun 19, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH22234 | WA | Primary |
Addresses
Primary practice location
501 SE 172ND Aveune
Vancouver, WA 98684-9542
Mailing address
501 SE 172ND Aveune
Vancouver, WA 98684
Phone (360) 397-3602
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH22234 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371600000000",
"number": "1053750471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 SE 172ND AVEUNE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98684",
"telephone_number": "360-397-3602",
"fax_number": "360-604-1791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 SE 172ND AVEUNE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986849542",
"telephone_number": "360-397-3602",
"fax_number": "360-604-1791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "GREG",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "R.PH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-19",
"last_updated": "2013-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH22234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.