Wilson Wong, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP446897 Issued in PA

Practice address

CVS Pharmacy #450
3401 Walnut St
Philadelphia, PA 19107

Phone

(215) 662-1333

NPI assigned

Apr 16, 2020

Sex

Male

Sole proprietor

Yes

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.

• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • Philadelphia, PA
  • NPI 1578667325
  NPD (past)
• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • West Chester, PA
  • NPI 1639063571
  NPD (past)

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1053931303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 VINE ST APT 806",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071736",
            "telephone_number": "267-331-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CVS PHARMACY #450",
            "address_2": "3401 WALNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-662-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "WILSON",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP446897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tai Yuen Wong, M.B.,CH.B.
• Tami Wong
• Triston Anthony Wong
• Victoria Wong, PA-C
• Vivien Wong, MD
• Yu-Ning Wong, M.D.
• Parith Wongkittichote, MD, PHD
• Brittany Wongus
• Bin Woo
• Cathy Woo, RPH

• Pharmacist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.